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Contractor Information for Internet access
H applicant holes multiple licard". a separate applicant" must be submitted for each license.
ALL FIELDS MUST BE COMPLETED 09 THE APPUCATION WILL BE REJECTED
Company name as listed on state license: Troutman plumbing compa I ne
License holders name as listed an $Let! License:
Lee R. Tro utm a n
if different from Company name( (First Name) (M) (Last Name(
Uc<nse Number.
01 � 673 1 tic. Expiration Date: 12-31- 2009
Address: 1306 13th Street HE
Hic NC 28601
E -mail address: troutmani 9 50 it
(E-mad addresses will be used for notification)
Telephoto: 818-256-2875
Fax Number: 828 -256 -3449
Mobile Cell: 0.26_612_4 IRA
Namels) of any other Qualifier listed on the license: Richard L. Troutman
eco Troutroa
Jeff Ranupp
Name(s) of any other person that Is authorized to sign for a permit with Catawba County:
Signature of applicant: �, DMe: 1 -27 -200
By signing this application, you agree to maintain the security of the log -in name and password.
password security will be the full responsibility of the applicant.
The issuance of a login and p reward will allow a person to schedule Impectlom la all projects they
are listed on as a mMraptnr. Your User name and temporary password win be sent To the small
address you provided above after the Information on this form Is verited. This lam can be mailed W
Have address of either of the fax numbers listed above.
Wittman)