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P3092 Redland 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 Date Location -- i Subdivision Name Lot No Sec. or Block No Lot Size House Mobile Home Business Speculation r No: Bedrooms No. Baths No. in Family Garbage Disposal YES ❑ 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. } } ( 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 Certificate of Completion Date *The signing of this certifi to shall indicatethat'the system described above has been installed in compliance with the standards set forth ' 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 IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION `"Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c. 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 Certificate of Completion 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. Permit Number Name Date P ` rw Location .T Subdivision Name Lot No. Sea ,or Block No. Lot Size House Mobile Home �-'Business Speculation No. Bedrooms No. Baths No. in Family r _ Garbage Disposal YES ❑ NO ❑ Specifications for System: Auto Dish Washer YES ❑ „NO ❑ Auto Wash Machine YES>❑ -NO Type Water Supply 11 Y *This permit Void if sewage system described below is not installed within 36 months from date of 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. Final Installation Diagram: System Installed by Certificate of Completion 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. S NIF COUJY 1T- T'.LT;a CFF ?.1*1 '.T CO -P 11i T FOP` '?ate: d ame of Cor/ll aii nant —446 e z2s6e�1 C dress �'D� // (l�� Telerhone Complaint IV_ - r. Parsons Responsible e for Coral l ai nt N%Aress wetail "irections to Complaint Referrc6 to Acti on* Final ^isaosition *Use Back If .^eeded. _Telephone iUr Sinned Poaa ''o. 0,010, Date 2 Date Nate