113 Tutterow Rd 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 i','� „� ,, Date ..,
s_
71
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms `'" No. Baths No. in Family '
Garbage Disposal YES E] NO ❑ Specifications for System:
Pr'
Auto Dish Washer YES ❑ NO 0 f
Auto Wash Machine YES p ' NO ❑ {
Type Water Supply
"This permit Void if sewage systemdescribed 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 byZZ46!LVI
1
17
ti
Certificate f Co pletion9;��-- Date
'The signing of this certificate shall indicate that t sy tem described above has been installed in compliance with
the standards set forth in the above regulation, but hall n NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*h1otq-,Issued in Compliance with G.S. of North Carolina Chapter 130—Article 130.
Permit Number
r�
((
Name j�ir1. k'.f., !_I� r`�1 ,.�nf� Date -
ZZ-' -7'
'� 2U
.r1 4
Location ���tlti- T.24. SR. i3az (-T,4,
Subdivision Name Lot No. Sec. or Block No.
Lot Size House �-'� Mobile Home — Business Speculation
No. Bedrooms _ No. Baths No. in Family b
Garbage Disposal YES ❑ NO p'. 1 Specifications for System:
Auto Dish Washer YES ❑ NO Er
Auto Wash Machine YES p'' NO -O -
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
Fj�11
t S
U
C,
Improvements permit by ��r �
*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 by17
%'� �� � ��
Certificate f Co 1pletion Date
*The signing of this certificate shall indicate that th sy tem described above has been installed in compliance with
the standards set forth in the above regulation, but hall n NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.