HomeMy WebLinkAboutARTHURS SHEET METAL INTERNET APPLIC.TIFCATAWBA COUNTY
BUILDING SERVICES Po.so- 3es
LI PEJ(L'BT CENTER NevM., NC 29559
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Contractor Information for Internet Access
If applicant holds multiple licenses, a separate application must be subrnitted her each Ikense.
ALL FIELDS MUST BE COMPLETED OR �T�HE APPLICATION WILL BE REJECTED
Company name as listed an stare ficense: A WLSkal Rk1 61 T i
License holders name as listed on State License: J -c--
Of different from Company Nami (First Name) (M) (Last Name)
License Number ; - 7 C9 License Expiration Date, I 1-9Q
Address: S"1 C
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E -mail address �.a4.11.(o J =fCJ (p GL (znn.
(E mai addresses will be used for rmtification)
Telephone: 704 (a lad J.c h I
Fax Nurnber: 7G0 b lo — G I D (.
Mobile Cell: 2L4 1 1 U G93
Name(s) of any other Confer fisted on the license: _
Name(s) of any other person Thal is amhodzed M sign for a permit whin Catawba County:
Signature d applicant ! P iv J �, aU4.a n- Date: I _ aq crf
By signing this applicalbn yJZqxRqree toma"m the sec ray of th gig -m me and password.
Password security will to Me on responsibility of the applicant.
The issuance of a logyn and password will avow a person to schedule inspections nor an projects
they are listed on as a contractor. Your Us" name and temporary password will be sent W the
email address you provided above after the Information on this form is verified.
This form can be mailed to the address or either of the fax numbers It stud above.
112012009
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