P2332 Cana RdDAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
`Note: Issued i„Fampliance with G.S. of North Carolina Chapter 130—Article 13c.
=`” - - Permit Number
Name /r/ i%�/r,,' Date ,/`'�"'t ^Z
Location
J
Subdivision Name Lot No. Sec. or Block No.
Lot Size �� rfi' �� House Mobile Home �''�J Business Speculation
No. Bedrooms r No. Baths No. in Family_
Garbage Disposal YES p NO []--
Auto Dish Washer YES [ NO p
Auto Wash Machine YES Q, NO p
Type Water Supply
Specifications for, System:
*This permit Void if sewage system described below is not installed within 36 months from date
issue.
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.
Leruncaie or uompieuun • 11 tea«
*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.