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P.O. Box 389 ELECTRICAL
Newton NC 28658
PERMIT
d Phone: (828)465 -8399
v Fax: (828)465 - 8962 PERMIT NO.: ELE2006 -00030
j APPLIED: 01105/2006
Web Site: www.catawbacountync.gov ISSUED: 01/05/2006
I8 4 ? -� Popular Pages / Online Permit Center EXPIRES: 07/05/2006
SITE ADDRESS: 1227 10TH ST BLVD NW HICKORY NC
j ASSESSOR'S PARCEL NO.: 279312964411
TYPE OF WORK: REPAIRS
TYPE OF USE: MULT- FAMILY RESIDENTAL
BUILDING SQ. FOOTAGE: sf
PHYSICAL DIRECTIONS: OFF GEITNER RD
PROJECT DESCRIPTION: INSTALLING INTERIOR WIRING REPAIR FROM FIRE DAMAGE
OWNER /APPLICANT CONTRACTOR 1 CONTRACTOR 2
CREEKSIDE APARTMENTS KENWORTHY ELECTRIC COMPAN'
C/O 1 ST LANDMARK -LISA PO BOX 3210
831 BAXTER ST HICKORY
SWT #6972
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Electrical Fixtures Fees
Fixture Type Amps Quantity
Electrical wiring per tenant spac 1 Type By Date Amount
PRMT LHS 01/05/2006 $50.00
Total: $50.00
This permit is issued on the express condition that the above work shall conform in all respects to the statements certified to in the application for
such permit, and that all work shall be done in accordance with all applicable zoning, building, electrical, plumbing and mechanical ordinances of
the County of Catawba and the State of North Carolina.
A permit issued for work under this Code shall expire by limitations six months after the date of issuance if the work authorized (FOOTINGS ARE
CONSIDERED 1st INSPECTION ON NEW CONSTRUCTION) has not been commenced. If after commencement the work is discontunued for a
peri od of 12 months, the permit therefore shall expire.
* * *AN ADDITIONAL CHARGE PER THE CURRENT FEE SCHEDULE MAY BE ASSESSED FOR EACH UNWARRANTED INSPECTION
SCHEDULED. * **
If there are any questions, please contact the office between 8:00a m. and 5:00p.m.
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(828) 465 -8399 Office Number Catawba County FAX ❑ CALL ❑ WITH ISSUED PERMIT #
(828) 465 - Ns-:hqon Fax Number Application for Permit TO THIS NUMBER (_ )
(828) 322 -6814 Hickory Fax Number
www.catawbacountync.gov
(Please print or type) P.0 Box 389 Newton, NC 28658
Type of Permit [electrical El Plumbing E] Mechanical ❑Fire Date
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Active Building / Mobile Home Permit # Property ID # (if known)
*If no active Building or Mobile Home permit please list driving directions from a major intersection:
Use of structure: El Mobile Home ❑ Single family Multi family ❑ Commercial ❑ Industrial /Factory ❑ Church Owned ❑ Gov't Owned ❑ Accessory
Physical 911 Address of Project
�� /
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Owner or Business —�� �i GCS' f'.� -� Telephone
Address
Subcontractor �; _�`� C ly : Telephone Sl2 — 3ZZ 16
Address ? License # ITCX_5 " f�
General Contractor Telephone
Design Professional Telephone
Address NC Reg #
ELECTRICAL (List each panel separately) Panel # 1 Amps Panel # 2 Amps Panel # 3 Amps Panel # 4 Amps
❑ New Building Wiring ❑ Pole Service ❑ Wire Mechanical unit only (No Svc Chg) Total#
❑ Additional Service (existing bldg) ❑ Service Chg. Amps ❑ Interior Wiring (No Service Change)
❑ Addition of Sub Panel ❑ Load Control ❑ RV Service
❑ Saw Service ❑Mobile Home ❑Other (List) �y`Oi31aQE t��
❑ Sign Service ❑ Modular Home Total Electrical Cost $
❑ Service Repair ❑ Swimming Pool (work you will perform) _..__.__Bonding _Associated Wiring
PLUMBING
❑ Full or Partial Bath/Toilet Rooms.(Includes future.)
Total number being installed ❑Gas Line /Pressure Test only
❑ Mobile home (new set -up only) ❑ Modular Home
❑ Water Heater (Electric, Gas) ❑ Other (List)
MECHANICAL (Check One) ❑ New Installation ❑ Change out exiting system
❑ Heat Pump or Furnace with A/C Total #_ ❑ Gas Line/ Pressure Test ❑ Other (List)
❑ Furnace (Oil, Gas, or Electric) Total # _ ❑ Gas Logs Total # ❑ Mobile Home
❑ Air Conditioner Total # _ ❑ Unit Heater Total #
❑ Water Heater (Electric /Gas) Total # _ ❑ Modular Home
FIRE (Check permit type applicable)
❑ Fire Extinguishing System ❑ Compressed Gases ❑ Spraying & Dipping
❑ Fire Alarm/Detection System ❑ Hazardous Materials ❑ Standpipe Systems
❑ Fire Pumps & Related Equipment ❑ Industrial Ovens ❑ Temp. Membrane Structures
❑ Flammable & Combustible Liquids ❑ PVT Fire Hydrants ❑ Other
"All fees entered by Permit Center, DOUBLE FEE charged for work started prior to obtaining permit. "The under ignedinakes application for
permits and inspection of work described and age es to comply with all applicable State, C cod a aws re ating �ework.
PRINT NAME Cl' SIGNATURE
(Subcontractor) L c s Ho der /Owner
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