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Phone: (828)465-8399
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PERMIT NO.:K8EC2OO7-O2422
Web Site: w~=.outuwh000"nuzoc'uov ISSUED: 11/26/2007
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APPLIED: 11126/2007
_ EXPIRES: 05/26/2008
SITE ADDRESS: 9117 THACKERY LN SHERR|LL8 FORD NC
ASSESSOR'S PARCEL NO: 462801182634
TYPE OFWORK: ALTERATIONS
TYPE DFUSE: SINGLE FAMILY RESIDENTIAL
BUILDING SO. FOOTAGE: 0 of
PHYSICAL DIRECTIONS: 150 E/ LTSHERR|LLSFORD RT|GLAND PT RD/ LFNORTHV|EVV HARBOUR
DR, RTGARR|SON LFCROFTE RTTHACKERY LN LOT #153 END OF
CUL-DE-SAC �
PROJECT DESCRIPTION: INSTALL 1 HEAT PUMP & 1 SET OF GAS LOQS& GAS LINE
OWNER/APPLICANT CONTRACTOR1 CONTRACTOR 2
LUCIANO TEKAMPE SAME AS OWNER
9117 THACKERY LN
SHERRILLS FORD NC 28673
SWT #100
Equipment Fees
Type of Equipment OuaiTt-lty Type By Date Amount
New Installation less than 3 --
PRMT PSQ 11/26/2007 $110.00
Total: $110.00
This permit io issued oo the ex cond that the above work shall conform in all respects to the statements certified to in the application forsuch permit, and that
all work shall ov done m accordance °imu/uppucumvzmuiuo.uuooioo.ummm\nmmxioounumc ouuim/mu/nuno^ov«umcoontywcuuwoxmumnstateo«
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 Ist
INSPECTION nw NEW CONSTRUCTION) has not been commenced. n after commencement the Work ixaaomumuoeu for u period m|z months, the permit
therefore shall expire. ox pr expires, ominimum fee per the current fee schedule will oc charged for each building and trade permit m reactivate mvprojuct.
~~~Aw ADDITIONAL CHARGE PER THE CURRENT FEE SCHEDULE MAY BE ASSESSED FOR EACH UNWARRANTED INSPECTION SCHEDULED.
n there are any questions, please contact the office between x:ouu.m. and 5:onpm.
to
(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 CK Mechanical ❑ Fire Date �
Active Building / Mobile Home Permit # Property ID # (if known)
/a *If no active Building or Mobile Home permit � p list driving directions from a major intersection • r , 5h ilA
f5 e„ d S�Qn I b�nT L e ci � t' 1/ , t. e, CrYr /54✓1 e {- Crl &i Ie Rl< � G C
Use of structure: ❑ Mobile Home 0 Single family ❑ Multi family ❑ Commercial ❑ Industrial /Factory ❑ Church Owned E] Gov't Owned ❑ Accessory
ical 911 Address / of Project I' Th a e L �lvf e S� e. /s 4,-p/ , 6 OR- 3
Owner o� Business L izel a lu / /c c? // r�T�E' / Telephone V�
Addre `ZI7 a- � c%eVY L ?4& 5A6W;1/f �✓�, I oDt G 73
Subcontractor o��e �w��>' Telephone
Address License #
General Contractor &O P D k" 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 ( you will perform) _._Bonding Associated Wiring
PLUMBING (Include all future rooms that may be roughed in)
❑ Full Bathrooms Total # installed
❑ Half Bathrooms (Toilet & Sink only) Total # installed ❑ Gas Line /Pressure Test only
❑ Mobile home (new set -up only) ❑ Modular Home
❑ Water Heater (Electric, Gas) ❑ Other (List)
MECHANICAL (Check One) K New Installation ❑ Change out exiting system
kC Heat Pump or Furnace with A/C Total # / JK 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 inspection of worts described and agrees to comply with all applicable State, Coun and laws reguI rk.
PRINT NAME L UC I - t7' -w rav SIGNATURE
(Subcontractor) License Hold