HomeMy WebLinkAboutCONTRACTOR INTERNET--LAIL, JODY HEAT & COOL.TIFFEB -25 -2009 09:28 FROM:JODY LAIL HEATING AN 8284660619
CATAWBA COUNTY
BUILDING SERVICES
PERMIT CENTER
TO:8284658962 P.1
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P.O. Box 368
Newton, NC 26956
FAX Number (628) 4854982 Newton Office
Fax Number (928) 922.8814 Hickory Office
office Phone Number (828) 4658399
Contractor Information for Internet Access
N applicant holds multiple Ilceneas, a separate application must be submitted for each license.
ALL FIELDS MUST BE COMPLETED OR THE APPLICATION WILL BE REJECTED
Company name as listed on state license: Al I Afi
License holders name as listed on State License: o �...
(If different from Company Name) (First ame) (M) (Last Name)
License Number. 191/0 S ( Pd License Expiration Date: �5�
Address: ifs g 0 j Q.1 r 7
Al G
E -mail address: a ,
Q (E -mail a resses will be used for notification)
Telephone:
Fax Number.
Mobile Cell: �„1 s C SO 9 a-
Name(s) of any other Qualifier listed on the license:
Name(s) of any other person its a horixed to sign for a permit with Catawba County:
IG 0. r
Signature of annlimnt, 46 Gate.
By signing this oppli n, you adWe to maintain the security of the log -in name and f assword
Password security will be the full responsibility of the applicant
The issuance of a login 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 veMfled.
This forth can be mailed to the address or either of the fax numbers listed above.
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