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INSPECT)OHS
DIVISION
100 East First Street
Winston-Salem, NC 27101
(336) 727-2624
Building Permit # C2000370
Job Address: 3311 JESSIE VILLAGE DR
CL 27012
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Issue Date: 12/1/2020
Block: 4207 Lot: 557E Zoning: CL
DOC Code: MEDICAL AND SURGICAL OFFICES Occupancy Classification:
Project Name: B1942 OrthoCarolina Clemmons
Description of Work: Shell upfit for Medical office including XRay room
Lien Agent Old Republic Title Insurance Co
Contractor
Contractor: KEACH CONSTRUCTION, INC
Contractor Phone: 704-756-4336
Owner
Owner: ORTHO CAROLINA
Owner Phone:
This is to certify that all required inspections on this structure have been made and that all known code violations discovered
during such inspections have been corrected and reinspected. At the time of final inspection, the work authorized under this
Building Permit has been completed in substantial compliance with the North Carolina State Building Codes and applicable
local building or zoning laws. Other permits or approvals may be required by other regulatory agencies for the lawful
occupancy of this structure.
This Certificate of Compliance and Occupancy shall be subject to any and all conditions legally specified and if any such
conditions are not complied with this Certificate shall be void and of no effect.
This Certificate of Compliance and Occupancy shall remain in force until such time that there is an alteration, addition or
change of use of the structure, or land, when it shall become void and a new certificate must be issued.
Comments:
By Authority of : Dan Dockery
Chief Building Official