113 Hickory Drive Lot 9 Section 2DAVIE 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 x���, %�I'' 6 j % j IT
Date 21- B C
Location
Subdivision Name ---5={- l�F �� Lot No. Sec. or Block No.
Lot Size House . Mobile Home'_ Business Speculation
No. Bedrooms -�
Garbage Disposal
Auto Dish Washer
Auto Wash Machine
Type Water Supply _
_ No. Baths 2 ' `' No. in Family.
YES ❑ NO ❑
YES ❑ NO ❑
YES ❑ NO ❑
Specifications for System:
11*d oak
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
I ;
'46ulse
ac�fgo%i fen
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l .4�i
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 by
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Gs9' "1;
9e,""
Sys
Certificate of Completion Date 819�J 9
*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.
DAVIE COUNTY HEALTH DEPARTMENT
j' IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit Number
Name !u. �C„7i Date, G %- 7 f <' . , 27.76
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business -- Speculation
No. Bedrooms No. Baths 2 / No. in Family
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES ❑ NO ❑p,n,r��l%� jrEP�
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
064
fit
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:
I
I 1
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t � �
System Installed by
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nq
rcr^'
Certificate of Completion d Date g% R /-79
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.