HomeMy WebLinkAboutSTARNES HEAT & AIR INTERNET APPLIC.TIFJan 13 09 l' Da April D.
Starnes
828.3963363
p.1
wuslz
1 829 466 8962 P.001/O01
CATAWBA COUNTY P0.ae,aa>
f Wi MC rear
IlLMM]( 7G SERVICES ru N,wiw paaaaii Ni 01i
PERMIT CENTER FU n.maer soup 322-U24 heory anvr
9 q of Pb +e numM and rrSane
Contractor Information for Internet access
It applicant holds multiple licenses, a we u appliation must be submitted NO each license.
ALL FIELDS Fil RE COMPLETED OP TAE APPUCATIOW fWfIIILL 80 REJECTED T�
Corr pall name as listed on state license: es ) .Y/IC.
License holders name as listed an State License: r l L
if different from Company n /I amel (First Name) (M) (las[Name)
UceneNumber: L - 15B li be'
/ r n e. ration Date: • "T J
Adpreu: IO an Utiin 1C QZl r/ ,
Cpl F -U S . .L2 Rid 3 n
Finail address: st rn P.Crj_a.Lnr �1._ C.6Yy'L
(E -m }T address / es will be used for notification)
Teleprvane'. �� Z& O
Fac Numben b3
Mal an: g — a-J
Namels)of any ottwr Oualific RSted oniye license: r)oni
N elsl of m' Cher near Th is authodzed To sago for a permit wiTh Catawba County:
Slinitureo(appliant Date
eysigringtrisappliaGen, you agree to maintain the securityc' the Jo in owe and password
Password secdriry will be the full respon siellty of The applicant.
The issuance of a login and pa6wad will apple a person to schedule impaii0ss for all pmje they
are listed an as a ma hector. Your User name and sempOrary password will ber semen the email
address you provided above after the iMOnnaYan NO this bon is verified This form con be wile l to
me address oreNber of [hehanumbers listed aheye.
smarts
SOTAL 2.6at