216 Brook Dr (2) DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
"Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit Number
Name Date ,
Location
Subdivision Name __ __ Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms No. Baths ca No. in Family _
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES ❑ NO ❑
Type Water.Supply
"This permit Void if sewage system described below is not installed within 36.months from date of issue.
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Improvements permit by
"Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed b
;75-
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Certificate of Completion Date
"The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period-of_time.
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, - ,•• DAVIE COUNTY HEALTH DEPARTMENT
,k{ IMPROVEMENTS PERMITI l AND CERTIFICATE OF COMPLETION
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Note: Issued in Compliance with G.S. of North Carolina Chapter 130=Article 13c.
t. / jII a Permit"Number
24 .6
Name /�JY _w S�r.� �II Date .% ? ''.x'� ; :
Location �✓i�
Subdivision Name III Lot No. Sec. or Block No.
Lot Size _ House Mobile Home _ Business Speculation
No. Bedrooms No. Baths No. in Family
Garbage Disposal YES F-1 ❑NO 'Ij
jj . Specifications for System:
Auto Dish Washer YES ❑ NO ❑ �
Auto Wash Machine YES ❑ NO ,❑
Type Water. Supply
II,
"This permit Void if sewage system:described bellll w is not installed within 36;;months from.date of issue.
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II Improvements permit by
'Contact a representative of the Davie County,health Department for final inspection of this system between 8:30-
9:30 A.M: or,.1:0071, P..M._on day,of completion..Telephone Number: 704-634-5985.
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Final Installation Diagram: i� System Installed bye ���
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a�Ckficate of Completion Date /vv
ti. ''ic f .
'The signing of this,certificate, shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation'il but shall in NO way be takeri as,a guarantee that the system will function
satisfactorily for any given period of time. :' . I I ;;