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HomeMy WebLinkAboutELE2005-03246.tif Feb 13 06 08:09fo Electrical Services Of Va 828 8793617 p.l (828) 465 -8399 Office Number t i1N�d - Count/ FAX [I CALL ❑ WITH ISSUED PERMIT # (829) 465 -8962 Newton Fax Number App ucaml . 10 T Pe TO THIS NUMBER L— (0215) 322--814 Hickory Fax Number www catawbacountync.gov (P /easy print or type) P.0 Box 389 Newton, NC 28658 I / Type of Permit electrical ❑ Plumbing ❑ Mechanical p Fire Date 2� /,. Active Building) Mobile Home Permit # ��D�/�UD S - d o %C� Property ID # (if known) *If no active Building or Mobile Home permit please list driving directions from a major intersection: Use of structure: Mobilc Home Single family ❑ Multi fammy 171 commercial , ❑ i y 0 Church Cvrned ❑ Gov't Ovmed ❑Accessory Physical 911 Address of Project Owner or Business Tele ' Address ! 7` ! �� "� / �' .:�, �f /�,� � � Telephone - � �' Subcontractor %��° Addres License # General Contractor Telephone Design Professional Telephone Address NCR # ( ELECTRICAL (List oath panel separately) Panel ,# 1 Amps Panel It 2 Amps Panel # 3 Amps Panel # 4 Amps I ❑ New Building Wiring ❑ Pole ervice ❑ Wire Mechanical unit only (No Svc Chg) Total# Additional Service (existing bldg) ❑ Service Change Amps, O Interior Wiring (No Service Change) ❑ Addition of Sub Panel ❑ LqA4 Control Q RV Service p Saw Service ZKobile Home Q Other (List) ❑ Sign Set ❑ Modular Home E3 Service Repair Tonal Electrical Cost, PLUMBING Q Full or Partial Bath/Toilet Rooms-(Includes future.) Total number being installed ❑ Gas LinelPressure Test only ❑ Mobile home (new set -up only) © Modular Home ❑ Wafer Heater (Electric, Gas) ❑ Other (List) - MECHANICAL (Check One) ❑ New Installation [:]Change out exiting system ❑ Heat Pump or Fumace with A/C Total #_ ❑ Gas Line/ Pressure Test ❑ Other (List) ❑ Furnace (Oil, Gas, or Electric) Total # _ D Gas Logs Total # _ E] Mobile Home ❑ Air Conditioner Total # r El Unit Heater Total # El Water Heater (Electric /Gas) Total # — ❑ Modular Home FIRE (Check permit type applicable) _ Q Fire Extinguishing System ❑ Compressed Gases ❑ Spraying & Dipping ❑ Fire Alam dDetection System ❑ Hazardous Materials ❑ Standpipe Systems ❑ Fire Pumps & Related Equipment ® Industrial Ovens Q Temp. Membrane Structures ❑ Flammable & Combustible Liquids ❑ PVT Fire Hydrants ❑ Other "All fees entered by Permit Center, 40 UBLE FEE charged for work started prior to obtaining permit. undemigned makes application for p©rmits and inspection of work described and agrees to comply with ail applicable State, County codes and laws regulating the work. PRINT NAME SIGtIA'rUPE /� I ! C iwner (SubconUactor) License liolderlpumer FEB -13 -2006 ?0 39 e2e 9793617 97: P.01