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— c P.O. Box 389 MECHANICAL
'16
Newton, NC 28658
�s PERMIT
®, Phone: (828)465 -8399
Fax: (828)465 -8962 PERMIT NO.: MEC2005 -00867
Web Site: www.catawbacountync.gov ISSUED: 05/06/2005
Popular Pa es / Online Permit Center APPLIED: 05/02/2005
g EXPIRES: 11/06/2005
SITE ADDRESS: 3948 BRICKFIELD ST HICKORY NC
ASSESSOR'S PARCEL NO: 360902977851
TYPE OF WORK: NEW CONSTRUCTION
TYPE OF USE: SINGLE FAMILY RESIDENTIAL
BUILDING SQ. FOOTAGE: 2,418 sf
PHYSICAL DIRECTIONS:
PROJECT DESCRIPTION: INSTALL HVAC SYSTEM (Change in Contractor to Mike Richards. Fax from
owner scanned into file.) Need $26 transfer fee
OWNER /APPLICANT CONTRACTOR 1 CONTRACTOR 2
TERRY KILLIAN GRACE CHAPEL TIN SHOP
5425 BETHEL CH RD 5621 CUB RUN
HICKORY NC 28602 GRANITE FALLS
SWT #34573
Equipment Fees
Type of Equipment Quantity Type By Date Amount
ADMN MR 05/06/2005 $26.00
Total: $26.00
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.rr
T d LL 6 08BSt'S21 8E8T BE " SODE- 90 - ,,HW
(828) 465-$399 Office Number Catawba County ��' P.O. too:
(828) 455-8962 Fax Number Application for Permit Newton, NC 2
(Pease print or type) www.co.catawba.n
Type of Permit Electrical i Plumbing ✓ Mechanical _ Fire Date 5 - a 5
Building / Mobile Horne # _ _ _ Property ID# 3Cp3 -5_J
Use of Structure: Mobile Home Single Famly ulti Family_ Commercial - ,_ Industrial/Factory - _ Church Owned _ GDO Owne
Physical Street Address' i r I ► f C_ Q
Owner/ or Business 7 - f iz g K I L-Cl n t � Telephone - O SS
Address
Subcontractor C C;TA f �- T N S u. L N Telephone
Address (b I C 4 4 IP Gt W f�-2� �� +j � �L -L License # /S'
General Contractor T f / �j J t C I bi- Telephone a9 0 S :1
Design Professional _ Telephone____��
Address _ NC Reg #
Directions to job site fw 14 Y r o w` t2 f& T 41J ZE nz I m ► L � f f
I� p1[dL,- " '4 A
DoNr H� (�Gr IT �' �, 41' � S
ELECTRICAL Panel # 1 Amps Panel #2 Amps Panel #3 Amps Panel #4 Arr
New Panel Pole Service _ Wire Mechanical unit only (no Service Change)
Sub Panel Service Change Interior Wiring (no Service Change)
Saw Service Load Control Other (List)
Sign Service Mobile Home
"if more than one panel, list size of each' Total Electrical Cost $ Permit $
PLUMBING
Total Number of Fuli or Partial Bath/ Toilet Rooms Fire Spinlder System (New/ Addition)
(Including ones forfuture use) Gas Line/ Pressure Test Only
Mobile Horne (New Set -up) Other (List)
Water Heater (Electric/ Gas)
Permit $
MECHANICAL (Check One) L New Installation Change out existing system (additional wiring - No/
#,L Heat Pump or Furnace with A/C # Gas Linel Pressure Test
# Furnace (Oil, Gas, or Electric) # Gas Logs
# Air Conditioner # Unit Heater
# Water Heater (Electric/ Gas) # Other
c C'4 Bald ( . Permit $ C_
FIRE (Cheri( 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
Permit $
' fees entered by Permit Center, DOUBLE FEE charged for work started prior to obtaining perm2 Theundersigned makes application for p
and inspection of work described and agrees to comply with all applicable State. County, codes and laws regulating the work.
PRINT NAME �L`c rC '� f SIGNATURE_P
(Subcontractor) LICENSE HOLDER or OWNER
I, . a Notary Public do hereby certify that personalty appeared
me this day and ac101owledged the due exewtion of the forepoino instrument, Witness my hand and gfricia seal, this the
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FROM FAXI NO. May. 02 2005 10:05AM p1
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