TRANSYLVANIA COUNTY by 75UQmA

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									                    TRANSYLVANIA COUNTY                                     BUILDING PERMITTING AND ENFORCEMENT
                      NORTH CAROLINA                                www.transylvaniacounty.org/permitting.htm PHONE: (828) 884-3209


                              Mechanical/Plumbing/Electrical/Special Permit Application


 Owner                                                       Architect




                                                                                                                                      Name:
 Address                                                     Phone

 City                          State      Zip                Engineer

 Phone                                                       Phone


 Contractor                                                  Contractor

 Address                                                     Address

 City                         State       Zip                City                           State          Zip

 Phone                        License #                      Phone                           License #


 PIN # (Tax Office: 884-3200):

 Directions:



Check if applicable:         Demolition: ______ Festival: ______ Stage: _______ Tent: _______

               Mechanical                             Plumbing                                      Electrical




                                                                                                                                      Permit #:
         Heat Pump                              Water Line                                Service Change
         Duct Work                              Water Distribution                        Lighting
         Duct Blaster Test                      Water Heater                              Receptacles
         A/C                                    Sewer Line                                RV/Camper (Septic Required)
         Gas Furnace                            Drain, Waste and Vent                     Panel
         Oil Furnace                            Sump/Ejector                              Well Service (Report Required)
         Boiler                                 Sprinkler System                          Electric Fence
         Wall Heater                            Gray Water, Rain Water                    Barn Service
         Gas Piping                             Interceptor                               Alarm System
         Other -                                Other -                                   Other -
Cost of improvement: $ _____________
Commercial: _________ Residential: ___________               Duke: _________ Haywood: _________
Is property within a designated flood zone? Yes _____ No _____
I hereby agree, as licensed contractor, to conform to all applicable Transylvania County Ordinances and State
Building Code laws of North Carolina by signing this application and the permit.

_____________________________________________________                                ___________________________
              Signature of Contractor                                                            Date

___________________________________________                  _______________________                     _______________
                  Approved By                                           Date                                   Fee
                                                                                                                       Rev. 9/12

								
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