HomeMy WebLinkAboutANDERSON BROTHERS ELEC INTERNET ACCESS.TIFFEE -02 -2009 15:26 CATAWBA COUNTY 1 829 465 8962 P.002
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Contractor Information for Internet access
Ifappliane holds multiple Ycemes, a sapara[e application mist be sumdow for each license.
ALL FIELDS MIIBT BE COMFIETED/ON "THE I" APVLI T710�N WBL
Company name as Iisted an rote license: 1-'IVOP m I y/ * YIG
Limnse holders name as listed on state License: (L. An&du n
(fl differemrrom C ompanyyrwne) IFlrst me) (M) Mast Name)
Lcense NumbeY. Shj -L' K. ERduatson Date:
Address: 9no MrA:( (Nk e Nur
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Email addresr. �1 MTne *C�(Z V1r1P,1�JiI� V774-i'�1.y5 "`^=''gy
r [E -mad addresses "I be used for notRisado,J
Telephone:
Fee Number `8T%C ?Q4 A?9O4
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Namels) Of any other qualifier lined on the 9cernse- ^ '�
.�o� ame(al dpanyy4�herg tMtis authprYedtOSIM for a parmitwhh Catawba County:
l'� fikll lC.I�IYH�ASIM
SupatUre of applianu . g 40 ,Ay, Dase' i lC
Bydgrurst this applirtiogyou co MmUlbrhesecudq of The log -mname and password.
Password seodry will be The full responsibilRy of she applianc.
The issuance of a Idgin and pasmew vAN apex a pxson TO ahwis a Inspections W all prolons %hey
re lDted en aca onsrasor. You. User lvme andtempanry µsswpd xYl he seMlotheemall
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she address or either W she fn nvnea Ysced abase_
TOTAL P.002
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