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-- P.O. Box 389 MECHANICAL
1\� Newton, NC 28658
d �, � � � Phone: (828)465 -8399 PERMIT
Fax: (828)465 -8962 PERMIT NO.: MEC2005 -00696
Web Site: www.catawbacountync.gov ISSUED: 04/11/2005
Popular Pages / Online Permit Center APPLIED: 04/07/2005
I8 4 ? EXPIRES: 10/11/2005
SITE ADDRESS: 3677 LYLE CREEK AV NE CONOVER NC
ASSESSOR'S PARCEL NO: 375207699894
TYPE OF WORK: ALTERATIONS
TYPE OF USE: SINGLE FAMILY RESIDENTIAL
BUILDING SQ. FOOTAGE: 0 sf
PHYSICAL DIRECTIONS: 1 -40 TO EXIT 133 / N ON ROCK BARN RD / LF INTO MAIN ENTRANCE OF
ROCK BARN / RT ON LYLE CREEK
PROJECT DESCRIPTION: INSTALL MECHANICAL ` NEW HEAT PUMPS
OWNER /APPLICANT CONTRACTOR 1 CONTRACTOR 2
DAVID KAY B & R SERVICE, INC
3677 LYLE CREEK DRIVE 512 ELKIN RD
CONOVER NC 28613 NORTH WILKESBORO
SWT #100
Equipment Fees
Type of Equipment Quantity
Type By Date Amount
Multiple Units of Syst/Equip
PRMT RAG 04107/2005 $125.00
Total: $125.00
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 XCALL ❑ WITH ISSUED PERMIT #
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Application for Permit TO THIS NUMBE b&7:7 S'S - Cy c
(828) 465'8962 Newton Fax 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 0',s
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: S'Ed!!
Use of structure: ❑ Mobile Home Single family ❑ Multi family ❑ commercial ❑ Industrial/Factory ❑ Church Owned ❑ Govt Owned ❑ Accessory
Physical 911 Address of Project 3 CQ C C ">'La )e .(L PAC 28co i
Owner or Business -- Nv;i;� A k24'n Telephone ( 6Z4 3 z I — '11
Address S q L� le C �cc f :..c C 01a2ye2 r4 L 2 ( 1 3
Subcontractor C.- Telephone C Co C2 - �2
Address k;,.�h -�r lrb NC Z &cosy License #
General Contractor Telephone
Design Professional Telephone
Address NC Reg #
ELECTRICAL Panel # 1 Amps Panel # 2 Amps Panel # 3 Amps Panel # 4 Amps
❑ New Panel ❑ Pole Service VNre Mechanical unit only (No Svc Chg) Total#
❑ Sub Panel ❑ Service Change Amps ❑ Interior Wiring (No Service Change)
❑ Saw Service ❑ Load Control ❑ Modular Home
❑ Sign Service ❑ Mobile Home ❑ Other (List)
*List each panel installed separately* ❑ RV Service Total Electrical Cost $
PLUMBING
❑ Full or Partial Bath/ Toilet Rooms.(Includes future.) ❑ Fire Sprinkler System (❑ New ❑ Addition )
Total number being installed ❑ Gas Line/Pressure Test only
❑ Mobile home (new set -up only) ❑ Modular Horne
❑ Water Heater (Electric, Gas) ❑ Other (List)
MECHANICAL (Check One) ❑ New Installation X Change out exiting system
`$ Heat Pump or Furnace with A/C Total #9 ❑ Gas Line/ Pressure Test ❑ Other (List)
❑ Furnace (Oil, Gas, or Electric) Total # _ ❑ Gas Logs Total #
❑ 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 AlamVDetection 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 undersigned makes application for
permits and inspection of work described and agrees to comply with all applicable State, County codes and laws regulati work.
PRINT NAME — bAVJ� - '3AuC%LkC - SS SIGNATURE -
(Subcontractor) O Holder/ ner
MRR -23 -2005 10:46 FOREST PRODUCTS, INC. 828 466 7494 P.O1 /02
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