HomeMy WebLinkAbout12641 COPY OF AUTHORIZATION FORM.pdf1107 0 3(FAX) P.0011001
CountyCatawba i Center Authorization
P.O. Box 39
Newton, NC 28658
Telephone: 928) 465-8399 Fax: 829) 465.9962
FULL License Number: (i.e. UL-1234S) y
i
License holders,name:
Business 1 Owner dame:
certify that the following individuals are authorized to sign for
perrrtiits for this o ni ation where allowed in the NC Licensing laws.
Name:
Signature;
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Marne:
i
Signature:
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Signature:
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License Molders Signature: ,
This form will in no way relieve the signor of any legal obligations concerning the signing o
documentation as defined In the forth Carolina General Statues or the North Carolina Licensing laws.
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North Carolina
State Board of Examiners
of Plumbing, Heating and
Fire Sprinkler Contractors
Horn
License No:
12641
License Expires Qn:
12/31 /2010
Class(es):
H-2, H-3'-1
Business:
Piedmont Acqusition Corporation
2904 Manufacturers Road
Greensboro, NC 27406
Phone:
(336) 294-1420
Fax: I
(336) 294-1431
By:
Gousanca, Eddie John (H-2, H-3-1)
Lookup another:
License number
20
License Class:
County Name
Go
Business name:
Personal name
(first, last):
City:
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NC
Updated
http://wNm.ncIicensing.org/�asp/OnlineReg2.asp 1/28/2010