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c P.O. Box MECHANICAL
Newton, NC C 28658
H � �
.< Phone: (828)465 -8399 PERMIT
v Fax: (828)465 -8962 PERMIT NO.: MEC2005 -02093
Web Site: www.catawbacountync.gov ISSUED: 10125/2005
18 41 Popular Pages / Online Permit Center APPLIED: 10/25/2005
EXPIRES: 04/25 /2006
SITE ADDRESS: 411 4TH ST SE HICKORY NC
ASSESSOR'S PARCEL NO: 370212871268
TYPE OF WORK: ALTERATIONS
TYPE OF USE: SINGLE FAMILY RESIDENTIAL
BUILDING SQ. FOOTAGE: 0 sf
PHYSICAL DIRECTIONS: BEHIND KENWORTH SCHOOL
PROJECT DESCRIPTION: INSTALL GAS UNIT HEATER AND GAS LINE (REPLACEMENT)
OWNER /APPLICANT CONTRACTOR 1 CONTRACTOR 2
CHRISTOPHE ANNAS DEAN'S HEATING & AIR COND. IN(
PO BOX 1361 4945 WHITENER ROAD
HICKORY NC 28603 -1361 HICKORY
SWT #27749
Equipment Fees
Type of Equipment Quantity
Type By Date Amount
Replacement of Appliance
PRMT LHS 10/2512005 $30.00
Total: $30.00
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
period 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- 8962 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 ❑ Plumbing mechanical ❑ Fire Date
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: ❑ Mobile Home [E(Single family ❑ Multi family ❑ Commercial ❑ Industrial /Factory ❑ Church Owned ❑ Gov't Owned ❑ Accessory
Physical 911 Address of Project __ 'I-1 1 j � S S
Owner or Business �- - c- C Telephone a 4 - 1 t C t 9
Address
Subcontractor r\ S c� n �s L Telephone Ala
3 ag
Address _ 1 A 9 �4 S �(��cr Lr�� ' �C� L _\ Z _ License # ) 3G 4
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)
❑ 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.) j
Total number being installed ❑ Gas Line /Pressure Test only
❑ Mobile home (new set -up only) ❑ Modular Home
❑ Water Heater (Electric, Gas) ❑ 0 er (List)
MECHANICAL (Check One) ❑ New Installation ❑ han exi�t'ng system
❑ Heat Pump or Furnace with A/C Total #_ ErGas Line/ Pressure Test ❑ Other (List)
❑ Furnace (Oil, Gas, or Electric) Total # _ ❑ Gas Logs Total # ❑ Mobile Home
❑ Air Conditioner Total # _ Rtnit 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 perm' . "The undersigned makes application for
AIR rmits and inspection of work described a d agre s to comply with all applicable State, C my codes I s r ulating the work.
RINT NAME SIGNATURE
(Subcontractor] License Holder Owner
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