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TRADES Application # ;!057 Harnett County Central Permitting PO Box.65.UllingttnNC 27546, 810-893-7525 Fax 910-893-2793, wwwhamett.org%permits Certification of Work Performed By Over/Contractor (individual trade Application} Owner (s) of Structure: ~aw(G ~S Phone 9 i9'0~9/ Owmr(a) Mailing Address 30: ~ "Y4rKCa r, v~ = Land Owner Name (s):. Phone: Coitstniction or Site Address; 30 ! V4 n c.i h n o-~ c PIN or Parcel # from GIS -lob Cost. Descriptipn of Work to be done LDlr1 Mecharncal: 1 New Unit With Ductwork_ New Unit Without Duclwortc as Piping Eleancal• 200 Amp_ <200,Amp SerJice Change _ `Service Reconnect Other • Fur Progress hrtergy;eustor ews we nwd the WeWee numker = Plumbing: ` Water/5ewer. Tap Number of BahS Water Heater. Specific DirectigtJs to Job from Llllinaton Subdivision: Lot # 777777 k will prowde the C ~e cJ r labor on this structure., (Contracto ar Namef (Trade) . I am the building owner: or rrmy NC state license number,is ;Q?G a •S =t' , which enti es me to Sta to Building, Code perfoml such :work on the above stricture legally All work shall comply with the: and all other applicable State and'tocalJaws 6 thancesand regulations. ` Structure owner(s) si/g~nature. Date: CompenyName ~ct `r.rn4 v., 1°fjru t A:f Phone 4v5-3g0-.S'~y ' Address.'as 3~7 /(/ck✓ , e `fir.¢ fet;i Add /OIt7 County: ~Contractor's license ils aLo> L Contractors Signature: Date. --7 'company name, address, phone must match Information on license. TRAD£s 4108 GI3 Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of I f .w~ mt ? ii 1i iii-tn i I fi RI(. I~~IIIly ~ ii III "III 5 L i ;il x #OEM IN iii N agH 11111 (ir iI!'~i ii 1, +a # twa ;I~'1?, x •i r 4. ~ i ,~ti 1 g Search All Selections #II'; ns Clear O ,"f'. ?t Is Feature [ion IHAWKINS RODNEY MAURICE & 1 ! t' ? NGELA MARIE 302 VUNCANNON DRIVE y nld'dn rY°~iP " 't` ~FUQUAY VARINA I# is INC 275260000 # I (on t X4664-93-1727 OW ' I t 040664 0150 15 _ •'~ij ( •q b008886 SIUUNCANNON DR 000421 X I LT 15 KENNIS CREEK t;~DENSON IF ',r~i( J~!}~~i {PC 4C/143-A 0.82759877 11125 0417 Inn,formation r v4 L - d'PID (PIN ,LEGALI~LEGAL2PROPADORSSASSESSACR DBOOKIDPAGE: SALE! ASSESSVALI Ni '.1.84 BF 0605960596-85- ACRES 1 C2l67 WYBFX 84~^°-~'--• 758 0687` 2500 $440 QQ~ IOW OOOI'VGAL7 PLEGAL2 PROPADDRSS~ASSESSACRE'D i DPAGE SALE ,ASSESS' 040664 LT 15 PC 'HA +i 4 3~ http://gistools.hamett.org/Freeance/Client/PublicAccessI/index.html?appconfig=public 1 7/8/2009