TRADES
Application
Pkaae note if This application mail In application
Harnett County Central Permitting
is part of a job in progress PO Box bar Liilington, NC 27546
with open permits. 910-893-7525 Fax 910-893-2798
yes -no www,harnatt.org/permits
Certification of Work Performed by Owner/Cantractor
(individual Trade Application)
Coat actor Information
1, AL.ck..k Sew will complete the /k*c4a ~i ch j work on the project or
(Name) (Trade)
structure herein described. My state license number is r/y9 Z All work shall comply with the
State Building Code and all other applicable State 8 Local law, ordinances and regulations.
Company Name: -k/?nc(r`s 4entmF nQ Gtlnd A'r ~14'J~ ~ai` ea A4 -
Mailing Address: I I a 4 DP4LO V da?..r Zc.I
Street Address: 1 I a `>r P F car 1W
Business Phone: Q l9 - `77(c - 1 41 U Email Address: CoS+yAf 5e_rVKe_ ~ ik iRL hea-} 4 CO
'Company name, address, a phone must match information on Ikense.
Job tnformation
Land Ownees Name: 1 y; rr~ le- LA*f J Phone: q1 q Llq q - yoo `r
Tenant/Building Owner(if different) Phone:
Construction or Site Address:_ 1 7 h i n5vn f t ~n Z'c(
PIN or Parcel # from GIS:
Specific Directions to Job from Liilinoton:
Description of work to be done. PenLLP 'A44 W AL" tlweJuwr~f+ _Job Cost:
Mechanical: New Unit With Duct ork _L=--Now Unit Without Ductwork_ Gas Piping
Electrical: 200 Amp _ 5200 Amp _ Service Change- Service Reoonnect - Other
Plumbing: Water/Sewer Tap_ NumberofBaths_ Water Heater
Permit Cost
Permit Fee: $ -_2° • 0 (calculated from fee schedule)
Mail In Processing Fee: $3.00 per application For Electrical Permits with Progress Energy
- we need the premise number provided.
Total Enclosed: $ S-1 . 0p'
Make chedt payable a Mat compteW application form to: Harnett County Central Permitting (HCCP)
PO Box 65
Lilfington, NC 27546
Contractor's Signature; 7 Date:?/~`f
DO NOT SEND CASH. INC L APPLICATIONS WILL NOT BE PROCESSED.
TRADE 4M
Application
Mail In aoniicatlon
;Please am if Ibis awlicabon Harnett County Central Permitting
is part of ajob in progress PO Box 65 Llllington, NO 27546
woh open permits. 910-893.7525 Fax 910-893-2793
_yes no www.hamett.org/permits
Certrfication of Work Performed by Owner/Contractor
(individual Trade Application)
Contractor Intc"mation
1, v will complete the _jpk je, tr y! _ work on the project or
(Name) (Trade)
structure herein described. My state license number is V%6'5- 7 0 J--. All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: ^d 'i~-r° c )r e
Mailing Address: 7 G e Jesm. -e-t4 yr
Street Address: t
Business Phone: ~f !4 353- f f z~ Email Address: Ph c e /e *Company name, address, & phone must match information on license.
.lctb lMormtnlon
Land Owner s Name: s~i io t t [w .aAI a k9 Phone:_ //f- y99 - yoD7
Tenant/Building Owner(ll different), Phone:
Construction or Site Address: /4.5r-f rct.'vs Tm~✓N~
PIN or Parcel # from GI&
Sger ' Directions to o Job from Lfllinaton:
Description of work to be done: few.yt--'f~gs~
Mechanical: New Unit With Ductwork New Unit Without Ductwork Gas Piping
Electrical: 200 Amp _ <200 Amp Service Change - Service Reconnect - Other,
Plumbing: Water/Sewer Tap Number of Baths Water Heater _
Permit Cost
Permit Fee: $ cW (calculated from fee schedule)
Mail In Processing Fee: $3.00 per aoolication For Electrical Permits with Progress Energy
we mood the premise number provided.
Total Enclosed: $ S 3 '~U
Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP)
PO Box 65
Ullington, NC 27546
Contractor's Signature: Date: D7
DO NOT SEND CASH. )NCO @ E PLICATIONS WILL T DR PROCESSED-
TRADE 4/08
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~LANGLEY RICHARD WADE
R & WIFE
LANGLEY DANIELL NICOLE
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1451 MURCHISONTOWN
F20NFORD .
At NC
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;273320000
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8-31-1355,000
a 0995680003 06 I'
=0060407 1
r- 'MURCHISONTOWN RD
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LT#6MORLEY FARM
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d PID PIN LEGALI LEGAL2 PROPADDRSS ~ASSESSACRE~ 013 DPAC
0599 59-!LT#3 OAKRIDGE
1i 70690153000206509 OOO SlD.43 AC PC#1/142 ;ASHE ST 000041 X 0.43 00795 0846
0633-20- 37 156ACS J F RIVER RD 000575
2050633 0003 37.16 02563 0840
http://gistools.hamett.org/Freeance/Client/PublicAccess 1/index.htrnl?appconfg=publiel 7/30/2009