TRADES
Application # y
Mail In application
Please note this application Harnett County Central Permitting
is part of perm in progress
with open permits. PO Box 65 Lilliegton, NC 27546
/ 910-893-7525 Fax 910-893-2793
_ yes no www.harnett.org/permits
Certification of Work Performed by Owner/Contractor
(individual Trade Application)
Contractor Information
i /fin y p
I, ) will complete the - OA&Meoc work on the project or
(Name (Trade)
structure herein described. My state license number is 20 q9 All work shall comply with the
State Building Code an all other applicable Stale & Local law, ordinances and regulations.
Company Name: 4V,420 A&UM
Mailing Address: I td_ A40W.
Street Address: 7330
Business Phone: q - -m-SR99 Email Address:
'Company name, address, & phone must match information on license.
Job Information p
Land Owner's Name: ~17~+yv~ \YY~S Phone: 4g~ qy iZ
Tenant/Building Owner(if different): Phone:
Construction or Site Address: VO gyft.Aa A '-~)v )ank~itt<j rtc 21331
PIN or Parcel # from GIS: CMS. lb, 0557
S ecifi Directions to Job from Lillie ton:
z t ,~sT rc~t.Attc~S AminoN it_ "1,Ft~4 on ZA to CAK£ -Lo
• n
Description of work to be done: ClLm.Qo ZZ Job Cost:
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: $ (calculated from fee schedule)
Mail In Processing Fee: $3.00 per application For Electrical Permits with Progress Energy
we need the premise number provided.
C~ Ua
Total Enclosed: J
Make check payable & Mail completed application form to: Harnett County Central Permitting (HOOP)
PO Box 65
Lillington, NO 27546
Contractor's Signature: 1~1rrtYl Date: 9-3.04
DO NOT SEND CASH. INCO LETS APPLICATIONS WILL NOT BE PROCESSED.
TRADE 4/08
Permit Cost
Permit Fee: $ (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~ o0
Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP)
PO x 65
Lill' gton, NO 27546
Contractor's Signature: i % Date: g 3 09
DO NOT SEND CASH. I COMPLETE APPLICATIONS WILL NOT BE PROCESSED.
TRADE
4/08
GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1
m ntt pp it p t T till tti 5 (N
LINE lI ~ k t~ ~m I P,
~ M S ~N r rl .(1' ~nw'i i," {I t i 1it4'irE{ tl~li4lll~t~V ti !!r! (r~ i!i{
~ r`` ,t 'a,{rY 6~ 2. ~!i :G I{.!$k !s .7 ! ar:!~!i lrl +..Frw",ul~~~i.~:.l`` a ~.lr t~ti.~ 2r
9 Search
w All Selections
{ Y+ ns Clear
I1 - Is Feature d ,
'It flon
HARRIS DARRYL & APRIL x
(H '
i(D
124F6XWOOD
( A °n` SANFORD
NC F
273321113
rr~1 °tI,yr ' lion 14
9585 16-0557.000 t
t§ iii . csF r r 'ryl ~?~b t a >a. 4 r X03958601 0371 86
0026145 Fr 1
S FOX WOOD DR 000124 Xi.
1 " k tk. tt " ` ba;, ° t vl" 3k 't GAL1 LT#86 CAROLINA HILLS
ht I~1.##~yy t x nz rl ! r " " a i( PH#1 1 {I
RiEg IP 38F/171-C (f.,
' y (i t 0.3834863
;t(~. ~~d ti: r bignnK 01104..
a(w~ rte;; rs/~ +l ri?~7 an r D 'Di 0345
( t . I r r~,~, 19950707 t +14
® ,5 kmr i i-' 4 7th p ! ' P31
ite Information
jF
Jy ¢ '
{?IF^M.
P
APID PIN LEf3Alt LEOAL2 ~ID1P/l' mISML~ i *Sam
%395860195851.8_ CAROLINAPC#F/171-FOX WOOD
.1 01104 0345 67000'40010
1037186 0557.000HILLS 'C DR000124X
` - - ~ _ Zoom To Result Set _
A,..~..w+
http://gistools.hamett.org/Freeance/Client/PublicAccessl /index.html?appconfig=public 1 9/9/2009