TRADES
t-(f
PILtLye rhohe if h6ie spplienurL ameC Ma 1
aft g
H
with open p~wmiL-L PO Box 8C 6 UpinPn. NC 2750
Telephone Number 910.89&7525 Pax 910493.2793
_YW ~hw www.hame3.org
Cehtiflaa0on of Work Performed
BY OwnedCordra for
LLtra rma 'il 1. man ~i e Wn. will complete the work an the projed or
(Name) (Trede
structure herein described. My state ken= number is. ) -?!q 4-4 Q i . AN wpr1C shall comply with the
Stale Building Code and all other applicable State d Local law, ordinances and rbgl Wations.
Comperry Name: f Ir
Malang Address: c ry
Weer Address: D
BuWass Phone: RIO - Z) q A91g Qa- __.Fmdj Addrew
TomMyneme, address, 6 phone must nmth inhxma6bl on 0aense.
Land Owners Name: C_ViG~y~y®na on
Phone Qm(- 104 - 31409
Tenantguilding Owner(rf dMfewM:
Construction or Bb Address: ' L` l O n 3 3 a
PIN or Pared 0 fmm GIS:
1[edlons to.lob from UlBmton:
L 1 7--
Description of watt to be dale:
Mechanical: New Unit With Dtx b mrk New Unit Wdhoul Ductwork -Inh
t3i~s Piping,_,_,
Eledncalk 2DD Amp _ <M0 Anp _ Service Change _ Service Reconnect ~ Other
Plumbing' Wdw'SOwer Tap _ Numha of Baths Yh Mer Heater
00 eP~Foo
Pemtit Fee: i (calwigied from fee adiedule)
Mad In Processing Fee: 93.40 der eeolicatlon
Total Enclosed: $
Make check payable A Flail mnphwed spplioation Porm tD- Hanwif my Central PO Sax 65 ftmttPiV (HOOP)
UWgwn. NC 27W
Conbt Wa Slgnabse: &1* ei D9te: ' ( .0
DO NOT SEND CASM INCO1 R ETE APPIJCp710NS Wl_ ~c ~Iror PROCESSEDL
10,00
UL 90aZ9 L-LO eh::v:rL a9:]IAM4e r1MNN1Ad'O'J 1/9N!!VW a~~ld tYal aauuu
ume
r!z a=-Yl-Lo U:Et;rl "314199 OMN%Md'OO LONWH eld AP-0 ROUM1 COR M0 o
pkasenaeeifthisapptlcadao in
is peel eta job m pn PO Box M UbVh n. NC 27546
wLb MPM pawUe Telephone Number 810889-752$ Fax 9143
_rM ~no www.hanfattarg
i
CsrMCOM of Work Perfo rmad
By OWr1arlcar facbr
wi complete #o f work qn the project or
lN+em<) (Teaea)
dnx*m hweln described My stela foerree number is _ 141 Fi3I- AB work shd~ campy, wM ft
stale Bull ft Cove and M Ow appflodit Shft & Loan kw. ardba r oes and rem".
Company m me: 'a h rl 'po I lf° .
Ma&vAddrm 5iP4t NC a.lj !iw\j E uanb _~f1e ~acg
I
Brims Ptamfx FmM Addy
Vo WWW name. sd&Bsk &PIN a mrrstmatich iRtffnM ran an 6aerr01
Landowner's Names 6r i '101- '3 Uq - 34 04
Cwrehrrction or Silo Addresec l Loo -i 3
PIN or Paroel E *wn owl
Desalptlon of work fo be dow
Medrerdcl k Now link Wdh Ductwork New Un5 VVWad Ductwork,- &mPlpft
l b*kat 200amp 42W Amp.
Servtoa Ct18u~9 _ Senr6C6 Rieoa~v~aCt QU~ar
Pkanbhpg Water/OMW Top w Number of Battle _ WaMrHaaler
pJ . P~SA96
Pam ft For. i-5L.-- (eefodded *cm to sdwxk le) i
Mal M Prooeee(ng Feet is t10 oar aoolfoaffon
Total Endoook i i Monvocoun Mite d~edr payable & AW oo 11' appeeahon loon hz PO Boot v "Pa (FI( M
Leo, NO 278461
00 Norms 09COMPLETEAPP,PLOMMM MUL MPROOMSSEDL
low
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DURRANT ERIC N 8 WIFE „
DURRANT ANNAH C &
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.35 LILLY LOOP _
SANFORD
,NC
I ! 273320000
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i 9585-47-0797 000 i
<03958504 0071
0037754
_ < ~F S LILLY LOOP 000036 X
LT#71BLK#D CAROLINA
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0 48 g
`0 34864996
0875 .
20060209
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d1 PID PIN LEGALI LEGAL2 PROPADDRSS ASSESSACRE DBOOKIDPAG EiDEEI
:LOT 122
1U10514 0459 '0514-10-'SEC 2 ..MAP 18!14 LILLY CR :1 01116 0793 11995(
2697.000 ROLLING I000035X
i SPR
0671 88 LT#2 577
I PC#Fl805 LILLY CT
http://gistools.hamett.org/Freeance/Client/PublicAccess 1/index.html?appconfig=public 1 8/18/2009