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P.O. Box 389 ELECTRICAL
2 Newton, NC 28658 PERMIT
Phone: (828)465-8399
.� Fax: (828)465 -8962 PERMIT NO.: ELE2006 -02727
�► APPLIED: 11/01/2006
Web Site: www.catawbacountync.gov ISSUED: 11/01/2006
X8,.4 2 Popular Pages / Online Permit Center EXPIRES: 05/01/2007
SITE ADDRESS: 3853 TOMS RD CLAREMONT NC
ASSESSOR'S PARCEL NO.: 376402865729
TYPE OF WORK: NEW CONSTRUCTION
TYPE OF USE: SINGLEWIDE MOBILE HOME
BUILDING SO. FOOTAGE: sf
PHYSICAL DIRECTIONS: HWY 16 N/ LFT ON RIVERBEND RD/ GO STRAIGHT ACROSS AT
INTERSECTION/ GO PAST BETHEL CHURCH/ TURN RT ON TOMS RD/
GO TO VERY END/ LAST HOUSE ON RT
PROJECT DESCRIPTION: INSTALL ELECTRICAL
------------- - - - - -- --------- - - - - --
OWNER /APPLICANT CONTRACTOR 1 CONTRACTOR 2
KIM TRAVIS SAME AS OWNER
5048 RIVERBEND RD
CLAREMONT NC 28610
SWT #100
Electrical Fixtur Fees
Fixture Type Amps Quantity
1 Type By Date Am
Manufactured Home
PRMT RAG 11/01/2006 $44.00
Total: $44.00
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 I st
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.
�lrrr
(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
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* M e of Permit ❑ Electrical ❑ Plumbing ❑ Mechanical ❑ Fire Date
Active Building / Mobile Home Permit #
Property ID # (if known) 3''� )- i I ,, ,;? x- 7, s_ - 7
* If no active Building or Mobile Home permit please list driving directions from a major intersection:
Use of structure: Home ❑ Single family ❑ Multi famil El Commercial ❑Industrial/Factory El Church Owned ❑Gov't Owned ❑Accessory
Physical 911 Address of Project
Owner or Business `
Telephone
Address ; r
1
Subcontractor <7 >
Address Telephone
General Contractor License #
Design Professional Telephone
Address Telephone
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 1�lobile Home
❑ Other (List)
❑ Sign Service ❑ Modular Home Total Electrical Cost $
❑ Service Repair ❑ Swimming Pool (Size x__) (work you will Perorrr
PLUMBING (Include all future rooms that may be roughed in) -- Bonding __Associated Wiring
❑ 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 ) ❑ 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 #
El Water Heater (Electric /Gas) Total # — ❑ Modular Home
FIRE (Check permit type applicable)
❑ Fire Extinguishing System ❑ Compressed Gases
171 Fire Alarm /Detection System El Spraying &Dipping
El Fire Pumps & Related Equipment ❑Hazardous Materials ❑Standpipe Systems
❑ 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 regulating the work.
�.. T NAME
(S contractor] tJ l SIGNATURE
License Holder /Owner
G: \BLD \Web Page Bld Srvs & Permit Ctr \Blank Applications \Trade Application New Revised 06- 07 .DOCCreated on
03/23/2006 12:16 PM