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TRADES Application tI d 9 ,~d O Please am if this application Will In aoWicatlon ~ ~CO p is part of a job is program Harnett County Central Permitting a with open ham- PO Box 65 Liilington, NC 27546 910.1393-7525 Fax 910-1393-2793 / _yes -no www.hamettorg/pemiits Certification of work Performed by Owner/Contractor (Individual Trade Application) Au"3 k (ti, s©( ray. Qnt actor Information 1, ~ Partc ~l r~i°r &AZ&.. will complete the Iler ~Ca.~A/ c~ra.~TP'C +7 work on the project or (Name) (Trade) structure herein described. My state license number is V74 7 All work shall comply with the State Building Code and all other applicable State A Local law, ordinances and regulations. Company Name: Mailing Address: Dt ~i'✓c~I /Q~ SR e~,-c1~s N 0?7 3~U Street Address: !!a?V DAR ✓e! S0-~ ~ rr/c a7J3y Business Phone: ?if` • 776 / Y/C7 Email Address: 'T mil( ae±. On~c4eofy. y • 4et'.V 'Company name, address, & phone must match information on I/tense. Land Owner's Name: Job Information Phone: ~''I L y q Q ` c « 3q Tenant/Building Owner(if different): Phone: Construction or Site Address: IS-$? i df e. V .*y l C"*(e rY, 2, 6L<-_i r 6 _ PIN or Parcel ft from GIS: _f ntrt 12h ra 4 Q,S T- 0 r T 6 Specific Directions to Job from Llllinaton gw~ h2 a~ 2 7 ,E P" J. onir t S Description of work to be done: AWICLc-._ 0.3X.161 rW AgWf` gAIM4 Job Cost: e4 5/35 zq, w.> Mechanical: New Unit With Duchlork - New nit Without Du ork Gas Piping Electrical: 200 Amp _ <200 Amp ~ Service Change _ Service Reconnect Other _ Plumbing: Water/Sewer Tap Number of Baths Water Heater c~ Permit Cost Permit Fee: $ ~J ^ Od (calculated from fee schedule) Mail In Processing Fee: $:3.00 oar application For Eleotdcal Permits with Progress Energy we creed the premise number provided. Total Enclosed: $ SY-00 Make check payable & Mad completed application form to: Ham n County Central Permitting (HCCP) PO Box 65 Ulington, NC 27546 01 o Contractor's Signature: Date: NOT SEND CASH. /NCOW APPLICATIONS ILWL NO_T BE PROCESSED- DO TRADE 4M D q~06~~~~ Application # Please note if this applicatim Mall In aoolication is part of a job in progress Hamett County Central Permitting with open permits. PO Box 651JIlington, NC 27546 910-893-7525 Fax 910-893-2793 _yes -no www.hamett.org/permits Certification of Work Performed by Owner/Contractor (Individual Trade Application) Contractor Irrforration I, will complete the < c , #'c 4r - wod( on the project or structure herein described. My state license number is X~ 57 a)~- . All work shall comply with the State Building Code and all other applicable State & Local law, ordinances and regulations- Company Name: , C4 rm 1Le s Sc. c s m 5.yf < < .5-46 Mailing Address: 11 7 Street Address: S 4 c n,/ Business Phone: cif Wit- 3S - i 1;Z _Z_ Email Address: t'rt e e /cc ~r.'c I P w iors.r,,A e 'Company name, address. & phone must match Information on license. I60 - ` 't ,It li 3 q 1b P ~ twn one '(4 Land Owner's Name: ~1~tjy1CG(CA Ph - Tenant/Building Owner(if differen • Phone-, Construction or Site Address:_ SCo Gt e ids P 17r- %~iw1t ru» ')~1 t' $3 Co PIN or Parcel # from GIS: Parcr i rs7- ®Y 9S"~ s 0136 5 1 PT N Ik 9,55757 3 7 ' Yo- - a o Job acid' it froLilli av ,A/ D ' . La 4- A J'tdco 14 t Description of work To be done: Lco fa« Rlre ce k ewer iwM_'T Job Cost: ~O~ 5 nfl Mechanical: New Unit With Du ork- New Unit Without Ductwork- Gas Piping ,,T Electrical: 200 Amp _ <M Amp _ Service Change- Service Reconnect- Other Plumbing: Water/Sewer Tap - Number of Baths _ Water Heater - Permit Cost Permit Fee: $ ~ ~ f O - - (calculated from fee schedule) Mail in Processing Fee: 5.00 Per suWlcatlon For Electrical Permits with Progress Energy we need the premise number provided- Total Enclosed: s"3,00 Make check payable & Mae completed application forth to: Harnett County Central Permitting (HCCP) PO Box 65 L4lington. NC 27546 Contractor's Signature: Date: O 7 -14--O DO NOT SEND CASH. NCO E A ONS KILL NO HE PROC TRADE 4/08 GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1 a ! ~ t f3 ! r., i~ ~ y"---9m~~Wq ~ I I 1 ~ 1 ~ r TMA.'9,) 9 ~ " ~ r""N t h g Search w All Selections ' E ns Clear g _ Is Feature t~ tion ' ALLEN REGINALD J & WIFE , i© (ALLEN VIOLETA C & 569 RIDGE VIEW DRIVE i° pA CAMERON dg, INC _ J 263260000 lion 955587-0056.000 099565 0136 51 I ' 0057371 a~~ " ITU n RIDGE VIEW DR 000569 X ~I LT#30 { ~ RWOOD @.StH__ r . ® HIGHLANDSE C,I rl a MAP#2006506 IRto~. y~+YO _ ' 0.75 R. „ I ±0.75253032 - a i 02253 Ill 1t X0294 ~7 w U L., . ite Information o* PID PIN LEGAL1 I~L7JAAQ2 IIM 8888&_6_tiBR W IU995659555=87_: LT#30 MAP#2006-RIDGE VIEW T td136 0.75 02253 0294 0 151 4056.000HIGHLANDSQSHERWOOD.506 DR 000569 X Zoom To Result Sete http://gistools.hamett.org/Freeance/Client/PublicAccess 1 /index.html?appconfig=public 1 7/15/2009