HomeMy WebLinkAboutCONTRACTOR INTERNET--LAIL, JODY (MEC) HEAT & COOL.TIFFEB -25 -2009 09:26 FROM:JODY LAIL HEATING AN 8284660619
CATAWBA COUNTY
EUTLDTNG SERVICES
PERMIT CENTER
TO:8284658962 P.2
C W '� '�_ -;Z (a -Oc/
P.O. Box 380
Newton, NC 28688
Fax Number (a28) 4854082 Newton Office
Fax Number (028) 322 -e814 Kokory Ofllce
Office Phone Number (820) 405.8300
Contractor Information for Internet Access
If applicant holds multiple licemes, a separate application must be submitted for each license.
ALL FIELDS MUST 8E COMPLETED OR THE APPUCA77ON IMLL BE REJECTED
Company name as listed on state license: Zj u La I � l ak, Mc E no I ,_aJC.
License holders name as listed on State License: SO j u
(If different from Company Name) (First Nam (M) (Last Name)
License Number: I lki 2 S 5 License E xpiration Date: a 3
Address: DY e-02
nip h�, A . C. iage 58' _
E -mail address: A ( la / d' 1j CI
(E -mail addresses will be used for notification)
Telephone:
Fax Number: ' �q
Mobile Cell:
Name(s) of any other Qualifier listed on the license:
Name(s) of any other person that is authorized to siq j for a permit with Catawba County:
A I ic: or-�. La4 1
Date:
By signing this applicati n, ou agreb* maintain the security of the log -in name and lassword.
Pas security will be the full responsibility of the applicant.
The Issuance of a log4n and password will allow a person to schedule Inspections for all projects
they are listed on as a contractor. Your User name and temporary password will be sent to the
email address you provided above after the Information on this form is verified.
This form can be mailed to the address or either of the fax numbers listed above.
lrzorzooe