183 Valley Oaks Drive Lot 15<�IA&
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DAVIE COUNTY, HEALTH
DEPARTMENT
A
IMPROVEMENTS PERMIT AND
CERTIFICATE OF COMPLETION
`Note` Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Name-�Jf%'yj"1�i1 y r L_ d �Gj%�`%!1_
Date { I ;'
Permit Number
2038
Location r � l ti
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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 O NO
SpecifIt ons f S ste
Auto Dish Washer ij- YES NO p it iL Auto Wash Machine YES pNO ����X-�'��'��-= Gin -c. -<-u:. c. ��-•
Type Water Supply (/rte/�' ---RX
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*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.
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Final Installation Diagram: ;' System Installed b �J���•-�G
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!i Certificate of Completion Data / /J
'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.