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P.O. Box 389 MECHANICAL
Newton, NC 28658
Phone: (828)465 -8399 PERMIT
Fax: (828)465 -8962
PERMIT NO.: MEC2005 -00079
\ /
ISSUED: 04/22/2005
Web Site: www.catawbacountync.gov
Popular Pages / Online Permit Center APPLIED: 01 /12/2005
_? EXPIRES: 10/22/2005
SITE ADDRESS: 3670 OLD SHELBY RD HICKORY NC
ASSESSOR'S PARCEL NO: 277002955082
TYPE OF WORK: REPAIRS
TYPE OF USE: SINGLE FAMILY RESIDENTIAL
BUILDING SQ. FOOTAGE: 0 sf
PHYSICAL DIRECTIONS:
PROJECT DESCRIPTION: CHANGE OUT MECHANICAL SYSTEM
OWNER /APPLICANT CONTRACTOR 1 CONTRACTOR 2
ATRIAX INVESTMENT PROPERI K. ASHLEY GARRISON
10 21 ST AVE NW 2303 FINGER BRIDGE RD
HICKORY NC 28601 HICKORY
SWT #25808
Equipment Fees
Type of Equipment Quantity
Type By Date Amount
Replacement/Extension of Syst/Equip
PRMT RAG 04122/2005 $45.00
Total: $45.00
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 lst 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.
NOW
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(828) 465 -8399 Office Number Catawba County FAX ❑ CALL ❑ WITH ISSUED PERMIT #
(828) 465 -8962 Newton 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 ❑ Plumbing Kllechanical ❑ Fire Date I �
Active Building / Mobile Home Permite —( `7 q 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 Utingle family ❑ Multi family ❑ Commercial ❑ Industrial /Factory ❑ Church Owned ❑ Gov't Owned ❑ Accessory
Physical 911 Address of Project
Owner or Business 4 611 1 1_�_ ,;, _ % aA Telephone
Address C? /w .Lz .
Subcontractor T �� i_ j (� n _� ;� Telephone
Address �� t �Ya� r t f a �,�} License # 1 2.(, q 2.
General Contractor Telephone 164 — 4( 2 — I Q Co 17
Design Professional Telephone
Address NC Reg #
ELECTRICAL Panel # 1 Amps Panel # 2 Amps Panel # 3 Amps Panel # 4 Amps
❑ New Panel ❑ Pole Service ❑ Wire Mechanical unit only (No Svc Chg) Total#
r.. ❑ 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 Home
❑ Water Heater (Electric, Gas) ❑ Other (List)
MECH CAL (Check One) El 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 undersigned makes application for
permits and inspe tion of work described and agrees to comply with all applicable State. Calinty codes and laws re lating the work.
PRINT NAME SIGNATURE
(Subcontractors
Licens older /Owner
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