1894 Davie Academy Rd (2)LOP
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—.
Location
Date
61
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:
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.
lu
jv"'- 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: Syste Installed by _74 -del Aa4v
�i a i � � �
Rj
Certificate of Completion .121cl Date yrs
*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
-.���, ►. ET N
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPL 10
`Note:issued in Compliance with G.S. of North Carol ina`Chapter 130—Article 13c.
Permit Number
Name7. r f i�'�i Date `�f.1,�.
�_. y
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
Auto Dish Washer
Auto Wash Machine
Type Water Supply
YES ❑ NO ❑
YES ❑ NO ❑
YES ❑�NO❑
Specifications for System:
r
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
.n
I`
4 sf ^` r • 1 J��. jilt'..
( C
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.
i
Final Installation Diagram:
-I
i
j_..___.._.--__..__.._ --..�
Syst m Installed by-
j�r« GX41
IV,
7
XelCertificate of Completion f''� 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.