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TRADES Application # ©4•~ ~i 61=W4 / 11 Harnett County Central Permitting PO Box 65 1.1111ngton, NO 27546 910-893-7525 Fax 910-893-2793 www.hamott.org/Porrnits Certification of Work Performed By Owner/Contractor (Individual Trade Application) Owner (s) of Structure: ,tI k Phone: 9lo 497 -,1111 owner (s) Mailing Address. 19 ( ~trgf+O~Ak6 - 0-&tm&t2,QA), -?9,US-V Land owner Name (s): Phone4In - 414 Construction or Site Address' a E PIN or Parcel # from GIS: Job Cost: Description of Work to be don Lo? Mechanical: New Unit With Ductwork New Unit Without Ductwork _ Gas Piping electrical': 200 Amp _ e2cc Amp , Service Change , Service Reconnect ✓ other • For Progress Energy customers we need the premise number Plumbing: Water/Sewer Tap _ Number of Baths Water Heater SR ific Directions to JoD from Lillinoton: Subdivision: 4ot will provide the labor on this structure. tComrector. Name) (Traft) I am the building owner or my NC state license number is I!tQq 9, 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: Anig Phone:910 - a-.384 Address: N` ir" County: Contractor's License #:L4&r1a Contractor's Signature: , e lDate: "Company name, address, & phone must match information on license. 4/08 TRADE l0/Z0 39tld 0000000000 8L:60 600L/60/60 Application # o?a771 Harnett County Central Permitting PO Box 65 Lillington, NC 27548 910-893-7525 Fax 910.893-2793 www. harneft. org/pormits Certification of Work Performed By Owner/Contractor (individual Trade Application) Owner (s) of Structure: LVAtW OAR 1; Phone:31O -497-A?ji Owner (s) Mailing Address:a E ER .C. Land Owner Name (s): PhoneLji-1417a31/ Construction or Site Address: 4 E PIN or Parcel # from GIS: Job Cost: Description of AWork to be donsTada- -If AD lal~QO_~~1) A Mechanical: New Unit With Ductwork, New Unit Without Ductwork _ Gas Piping Electrical': 200 Amp _ <200 Amp Service Change _ Service Reconnect f Other _ ' For Progress Energy customers we now the premise number Plumbing: Water/Sewer Tap - Number of Baths _ Water Heater _ ~Mific Directions to Job from Lillington: Subdivision: k ck r c, ~ etj- f A ,rk Lot I Agm6W & Avo'ew will provide the Lt VA (1 Tabor on this structure. (Contractors Name) (Trade) I am the building owner or my NC state license number is /40121 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: &,VnW 6AE&A Phone. 9 Address: )jag, H,HA4.oia 64 _a.~rtx , ;,a a. County: Contractor's License #:l4Dr1..1 / Lw1~,:e;.fd0 Contractor's Signature:,-=Ld:e--~~J.n✓ar ✓ Date:Q-J-Q9 'Company name, address, & phone must match Information on license. TRADE 4/08 Z0/Z0 3EkVd 0000000000 ZZ:60 600Z/E0/60 GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1 it r-_ +rs+ t `Nlir n7i* i~ ~i'#' _ i iU,(:: i~{iF I. r2i y. v;: r.k~JF.*~ UIIi"Ilis HEM 19 ~2°.J1.1 (iy per- } "9 Search r Fx I a( ~•i nT ow All Selections ./4 q a ; ~I i i ~~i ons Clear z `'•i „ , .OOO `~1 Is Feature f a VI m r twn ' i t a CLARK JAMES E & WIFE CLARK LYNN W &y ,yi .t~ „a ~ `"Z~ a , ~1~x'Iju,.,•ATfQR9 258 CHESAPEAKE DRIVE CAMERON I.. t ti NC 'IJIIIII, ~ . F r ~ :{3I3 I~} I4 H ~ $ _i 4p p S~j IN F,.i' I~} jcJt ,283260000 r ' @, e 8B360G i ' Pl 9595 10-3528.000 09956503 0282 13 4 CI••" m ( u ` 0052169 i) v, d( iS~CHESAPEAKE RD 000258 X .I PH#435k-ICHMONDPARK t° `r4, . 99-311 r h F q Ih ¢ 0.37876473 ~ •5~~ i ~ 91764 E o" ,3 ^ r'':. I, 9288 20030624 ite Information I 'f ff~fl9',4ilSij{ F ti^° Mki 1 d PID PIN LEGALI LEGAL2 PROPADDRSSI ASSESS ACRE DBOOK DPAGE,S LT#4 BETHEL 0524-44-;1 35X243 1010524 0024 05 609-9-0-06 CAROL W MB#14112 BAPTIST RD 0.75 01242 0811 1( J 6099 OOO CAROL W WOOD 000697 X . 31ACSC 0524-04 5 2048 INC SR _ wJI (Ilv4 ~il.ii~, .N t~tl:~ I taliKv9UA III Iii ~ ~s.ft II IIII IIIti v?"Fl http://gistools.hamett.org/Freeance/Client/PublicAccess 1 /index.html?appconfig=public 1 9/3/2009