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P.O. Box 389 MECHANICAL
Newton, NC 28658
PERMIT
d 1r ;.� Phone: (828)465 -8399
Fax: (828)465 -8962 PERMIT NO.: MEC2008 -01651
Web Site: www.catawbacountync.gov ISSUED: 09/30/2008
1 841 2 Popular Pages /Online Permit Center APPLIED: 09/30/2008
EXPIRES: 03 /30/2009
SITE ADDRESS: 1009 4TH AV NW HICKORY NC
ASSESSOR'S PARCEL NO: 37031 71 1 6702
TYPE OF WORK: ALTERATIONS
TYPE OF USE: SINGLE FAMILY RESIDENTIAL
BUILDING SO. FOOTAGE: 0 sf
PHYSICAL DIRECTIONS: FROM 3RD AV NW/ RT ON 9TH ST NW/ LFT ON 4TH AV NW/ CORNER OF 10
ST DR NW & 4TH AV NW
PROJECT DESCRIPTION: INSTALL REPLACEMENT BOILER & GAS LINE
OWNER/APPLICANT CONTRACTOR 1 CONTRACTOR 2
DON BROWN INGOLD COMPANY INC
1 DEVONSHIRE RD PO BOX 1870
MT LAUREL NJ 08054 -1905 HICKORY
SWT #15472
Equipment Fees
Type of Equipment Quantity
Type By Date Amount
Replacement /Extention of Single Item
PRMT EDH 09/30/2008 $30.00
Total: $30.00
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.
Irgold COMPANY, iNC. Fax:828- 322 -7323 Sep 30 2008 10:42am P001 /001
(828) 465 -8399 Office Number Catawba County FAX W CALL ❑ WITH ISSUED PERMIT #
(828) 465 -9982 Newton Fox Number Applicatlon for Permit TO THIS NUMBER (8 32Z — 2.3
(828) 322 -e814 Hickory Fax Number
www.catawbaoountync. ®ov
(Please print or type) P,0 Box 389 Newton, NC 28658
Type of Permit ❑ Electrical ❑ Plumbing ❑ Mechanical ❑ Fire Date
Active Building /Mobile Home Permit# Properly ID fl if known)
Use of structure: ❑ Mobile Home VSingle family ❑ Multi family ❑ Commercial ❑ Industrial/Factory ❑ Church Owned
❑ GoVt Owned ❑ Accessory
Physical 911 Address of Project /oo 9 Ai, A rz N jL 4 uJ. !71 e-u-j 2y N G
OwnerorBusiness "W%5 e i>d&j Telephone
Address /oo 9 44-1 Av Ieejs iaA a 1W, tis-u A w , 444,
Subcontractor J-- AJ eq n _.. d r. ; a R.y, -L si Telephone JS &S- 3 Z & - 7 31 &
Address I� 0. &* iS 7 4 , L Z.5 oa License # acon 4.40
General Contractor Telephone
Design Professional Telephone
Address NC Reg #
ELECTRICAL Panel # 1 Amps Panel # 2 Amps Panel # 3 Amps Panel # 4 Amps
❑ New Panel ❑ Pole Samoa ❑ Wire Medwbal unit only (No Svc Chg) Total#
❑ sub Panel ❑ Service Change Amps ❑ interior Wring (No Servioe Change)
❑ Saw Service ❑ Load Control ❑ Modular Home
❑ Sign Swag ❑ Mobile Home ❑ Other (list)
*Uat eaoh panel installed separateV ❑ RV Service Total Electrical Coast S
PLUMBING
❑ Full or Pertiaal BatWlTol6t Rooma.(Inoiudse kilure.) ❑ Fire Sprinkler System (❑ New ❑ Addition)
Total number being lnsWle _ ❑ Gas LinelPressum Teat only
❑ Mobile home (new oeWp only) ❑ Modular Home
❑ Water Heater (Eleft, Gas) ❑ Other (use
MECHANICAL (Check One) 13 Now Inada don CJ Mange ouieexl{ ng sysbm
❑ Heat Pump or Fumace with A/C Total # Gas Una/ Presaure Test
❑ Fumece (Oil, Gas, or Electric) TOW #_ ❑ Gas Logs . Total #^
❑ Air CondMoner Total # ❑ Unit Heater Tow
❑ Wester Heater (ElecbidGes) Total # � 1 Modular Home
I Ol 01her (Elea Z4 3> -1
FIRE (Check permR type applicable) ,
❑ Fire Extinguishing System ❑ Compressed Game ❑ Spraying & Dipping
❑ Fire Alia m0atimbon System ❑ Hazardous MaligIde ❑ Standpipe Systems
❑ Fire Pumps & %labd Equipment ❑ Industrial Oven& ❑ Temp. Memhrane Strictures
❑ Flammable & Combustible Liquids ❑ PVT Fire Hydrants ❑ Ober
"All fees entered by Permit Center, DOUBLE FEE charged for work started prior to obtaining psrmlt."The undersigned makes applicaibn
permits and inspection of work deM bed and agrees ID compry with all applicable State, CounQr cod law& regu nng work.
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PRINT NAME lZ� i - Ao ta'S�ci' Ar�Z4 4116 Co. SIGNATURE
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