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P.O. Box 389 MECHANICAL
Newton, NC 28658
Phone: (828)465 -8399 PERMIT
I U` Fax: (828)465 -8962
PERMIT NO.: MEC2006 -01859
Web Site: www.catawbacountyne.gov ISSUED: 09/27/2006
Ig q 2 Popular Pages / Online Permit Center APPLIED: 09/27/2006
EXPIRES: 03/27/2007
SITE ADDRESS: 1213 SHILOH RD CLAREMONT NC
ASSESSOR'S PARCEL NO: 377004808185
TYPE OF WORK: ALTERATIONS
TYPE OF USE: SINGLE FAMILY RESIDENTIAL
BUILDING SO. FOOTAGE: 0 sf
PHYSICAL DIRECTIONS: HWY 16 S/ LT ON BUFFALO SHOALS/ LT ON SHILOH CH RD/ GO 1/2 MI LT r
ONTO GRAVEL DR/ SITE ON LT
PROJECT DESCRIPTION: INSTALL LP GAS LINE OUTSIDE FROM TANK TO HOUSE
OWNER/APPLICANT CONTRACTOR 1 CONTRACTOR 2
SCOTT NANTZ LAKE NORMAN PROPANE INC
3480 EMMA DR 18709 STATESVILLE RD
MAIDEN NC 28650 CORNELIUS
SWT #45560
Equipment Fees
Type of Equipment Quantity
Type By Date Amount
New Installation less than 3
PRMT RAG 09/27/2006 $55.00
Total: $55.00
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. if a project expires, a minimum fee per the current fee schedule will be charged for each building and trade permit to reactivate the project.
* * *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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1828) 465-8499 Office Number CATA"A COUNTY'
(0j (828) a4e5 t' -o- Box 389 -d962 Fax Number Newton, NC x 389
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(Please print or type) APPLICATION FOR PERMIT Dd[e
____ Electrical Plumbing mechanical Fire Sprinkler — Tarr%L Sg. F - m.
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Building Permit # Property ID # Use of Structure
Physical Street Address / 3
Owner / usiness & f Q kj('. 'Telephone lg���1 '���� - 1tj I
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Address /� / `� Sd��lil !7 '(Z
r'nY Smtc Zlp
Subcontractor "Telephone f1 y i
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(/V L1.rtrn in Llrensc DooLl ' J
Address a -1 !� C 2 Licenst
Clly Slntr 2ty
General Contractor 'Telephone f
Location of Structure or Project (Physical Directions, Road Numbers and Name, Etc.)
>> ek j C 9,4 L-1
!'V w VVk �� l 1 r`v. /- -ns-�2 C' L.t - cam ( G �
ELECTRICAL Pane 1 #11 Amps Panel 412 Amps Panel #3 Amps Panel #t4 Amps
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 Horne
'if Mort than one panel list size of each'
TOTAL FEE $
PLUMBING
Total Number of Full or Partial Bath /Toilet Rooms Fire SprirlkJer system (New /Addition)
(including ones for future usc) Gas Line /Pressure Test only
Mobile home (new set -up only) Other (list)
Water Heater (Electric. Gas)
)
TOTAL
FEE $
MECHANICAL ........ .. ..... � - ._ <. ... „ ..... r.,,.:., ,..
( ck One)�New installation Change out eadstinlg system (additional wiring -NO / YES)
# Heat Purnp or Furnace with A/C Water Heater (Electric, Gas)
#� Furnace (Oil, Gas, or Electric) Gas Line /Pressure Test J
#� Air Conditioner �
#� Unit Heaters/ Gas logs
'List number ( #) of units installed TOTAL FEE $
tit/• vr"�.:'i��`^ ter ^%Ra: rbaiax �i,..r�: .. -,:.�: - ... -... .. ... - -
"All fees entered by Inspection Depsitmcnt ch�ged for work started prior to obtairilnfi per. he
undersigned makes application for permits and N- p o work described mtt and agrees to comply with all applicable State,
Cuunty, cud and laws regulating the wurk. `
Plt!!11' NAM --L eo hr 2 SIGNATURE �!. ` �e_ ��
License Holder Owner
"APO'Cations completed out of - the olhre by contractors not havinga billing arrount must br notarized.
1, a
a Notzuy Public, do hereby certify that persoraily
appeared before me this day and acknowledged the due execution of the foregoing instrument. Witiicss rrjy hand
official seal, this the
day of 1 S
Notary Public 1
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