TRADES
Application # 9
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
910-893-7525 Fax 910-893-2793
www.harnoti.org/pormits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
Owner (s) of Structure: j Phone: 4-qG- 4R49
Owner (s) Mailing Address: ~Mfi- T),* k L0t)cr -Be
LEPPING L~.~ Nc. aeV390
Land Owner Name (s): 1-ll1-ma4.5 5 -AA6gs Phone: 48 ea-4g4f 9
Construction or Site Address: 335 eve k WDDd '1)6
PIN or Parcel # from GIS:
Job Cost: Description of Work to be done ~~lln ns ~~ir,~ ~D
11 I e h t- ~ i 4 AlR M nLpx. ~n y~ n /OKt l.r
Mechanical: New Unit With Ductwork New Unit Without Ductwork ✓ Gas Piping _
Electrical': 200 Amp _ c200 Amp _ Service Change _ Service Reconnect _ Other -
For Progress Energy customers we need the premise number
Plumbing: Water/Sewer Tap _ Number of Baths _ Water Heater_,___
Specific Directions to Job from Lillinaton:
Subdivision: Lot
I UDl.j S~RU cE will provide the N UI~~ labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number Is.4 a 417 4 which entitles meta
perform such work on the above structure legally. All work shall comply with the State Building (;ode
and all other applicable State and local laws, ordinances and regulations.
Structure owner(s) signature: Date:
Company Name: 19hi,I l AD- Phone: 414?
ff ✓r d;$~O
Address: f i 11E i a $',3Olo -64 County: 6raotor's License -qo
Contractor's Signature: Date: Q- f/ -O 9
'Company name, address, & phone must match Information on license.
TRADE 4108
60/Z0 39Cd 0000000000 5Z:01 6002/TT/80
Application # r'~ 9 2~1J ~~ro ~y
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
910-893-7525 Fax 910-893-2793
www. hamett.o rg/parmits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
Owner (s) of Structure: Phone: 496 - U9t19
Owner (s) Mailing Address: 33-5- k 1,o -nR
'q rG t. fLE At, c - 4M L
Land Owner Name (s): /~{Ilrvrr,r]~. U~ClM L Phone: . _u go q
Construction or Site Address: 33
PIN or Parcel # from GIS:
Job Cost: Description of Work to be done
Mechanical: New Unit With Ductwork- New Unit Without Ductwork _ Gas Piping
Electrical% 200 Amp _ s200 Amp _ Service Change _ Service Reconnect ZOther.-
' For Progress Energy customers we need the premise number
Plumbing: Water/Sewer Tap _ Number of Baths _ Water Heater -
Specific Directions to Job from Lillington:
Subdivision: Lot
I AjOjuo ea will provide the kl f & A-~ labor on this structt re.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is 14o 1 which entitles me to
perform such work on the above structure legally. All work shall comply with the State Building Code
and all other applicable State and local laws, ordinances and regulations.
Structure owner(s) signature: Date:
Company Name: Phone: Q) 49
to
Address: //19.? C. XL30
County: Con ractor's License kc= VAL-Alkw
Contractor's Signature: Date:
'Company name, address, & phone must match information on license.
TRADE 4ruts
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335, DARKWOOD DRIVE
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http://gistools.hamett.org/Frecance/Client/PublicAccess l/index.html?appconfig=public 1 8/11/2009