HomeMy WebLinkAboutSPECIALTY METAL WORKS INTERNET APPLIC.TIFT44-19- 2059 08:53 From: Tc:1 828 965 8952 P.1
JAN -:3 -2099 13:91 CATAWEA MUM L 02B 465 8962 P.001.001
CATAWBA COUNTY Pd.a![am
1 v[.a., K 33 M
e BUILDWG SERVgA.'ES ro uomxr lute! M964M emm one
PERMR CENTER sweaabmmP 123-6024 eluvmdo=
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Contractor Information for Internet access
N appllemeheWa multiple lireneu, a syarm appOoan must be sabmNted fw eadr II¢mc.
ALL FIELDS MM eE COMPLETED OR TNEAPP=TMN / u RUEMB
Compimfname as listed on state license. SPC -C /I IAO» M L - LuolzzC bT 2.
Littnsa holders name as listed on State Udense : .A2Y 1 JU/L L P2 6P$)' J 2 .
gldNfxrenitrdn mmparry name) (FVst Name) (M) ilast Name)
License Number: EeaWeton Date: 72 /01
Add<v: 3062 12040 tir
/pi &Oa y_ i d 286
E-mal aedrew RL2oi Les coao 2TE2.Ri £7' GC. &c Cjt CUgCI
(&mail addresses wql be used for lwMi/abml
Telephone: SZ22SG—Y&ZV
Fae Number:
Mobile CaB: BS0 - 56S&
Nome(sl of any =her Oualigalisted on the lipmee:
Name(s) of ary attar Pelson that 6 autho*sdi to sign fora permit with Catawba County:
Senature O'applirant Oat.:
By signingrNa appheat'mn, you agreeto matntam the setu" Mdse lo8'n name a[d password
Pasmvprd security will be the full redpm6ibigty of the applicant
The b$uanet>a Ing In and "PlYhoM will aeae a perm m fehedulel Anspeedong Was Prpletts they
arc tlzted on as d mnbvman Ymr LIN name antl twnparary pMwprd wiN eesmtm the ergo
addressypu Prevked ahbveaNxrtlre Infdmadpn On thb faro ie veMd. tfih }amen he mdkd m
We atldress wehherofthe Fee Mm4rs Ilsted ebwe.
lViSTM
TOTAL P.001