Henderson County Permits and Inspections
100 N. King Street – Suite 220
Hendersonville, NC 28792
Phone: (828) 697-4830 Fax: (828)698-6185
Website: www.hendersoncountypermitcenter.org
Credit Card Authorization
VISA, MASTERCARD, and DISCOVER ONLY
With my signature below, I hereby authorize Henderson County to charge the Permits and Inspections
Department fees for straight trade permits to my credit card.
CHECK TYPE OF CARD: MasterCard ( ) Visa ( ) Discover ( )
CARD NUMBER:
For your protection the 3 digit security code, located on the back of
your card, must be included with each permit application in order to be
processed.
EXPIRATION DATE:
VIN
NAME AS IT APPEARS ON THE CARD:
CARDHOLDER’S SIGNATURE:
CONTRACTOR’S NAME AS LICENSED: LICENSE #:
BILLING ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NUMBER:
( )
-
Fax NUMBE
R: ( )
-
RETURN THIS FORM TO:
Henderson County Permits and Inspections
100 N. King Street – Suite 220
Hendersonville, NC 28792
FAX NUMBER: 828-698-6185
