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TRADES a`K Application # d 9 6o d Please note this application Mail Harnett In application County Central. Permitting part a job its. progress PO Box 65 Lillln ton, NC 27546 with open permit Telephone Number 910-893-7525 Fax 910-893-2793 yes no www.harnett.org Certification of Work Performed By Owner/Contractor Contractor Information Kent Johnson will complete the Mechanical-HVAC work on the project or (Name) (Trade) structure herein described. My state license number is 17164 . All work shall comply with the State Building Code and all other applicable State & Local law, ordinances and regulations. Company Name: J&M Heating & Air, Inc. Mailing Address: 724 TurlinRton Road Dunn, NC 28334 Street Address: Same Business Phone: 910-897 5501 Email Address: *Company name, address, & phone must match information on license. ~ Job Information I i Land Owner's Name: ~W I'q ) o R cL I ~ Phone: 9 1 0- 2 9-Jr 4g o Tenant/BuildingOwner(ifdiffe rent): ~S ME Phone: Construction or Site Address: X43 ZotoU LN. Dun R C AM31{ PIN or Parcel # from GIS: Specific Directions to Job fr Lillin ton: /~11 t f ~ l n ~e i~~lr(T nn w~(55 4wnltrl ,per of l .nRt Ceruih lV iM,SC&I rn (0 nnTiaaiF;t ~J fi m - a on Description of work to be done: ~tUUtq~01 a 0 t11 Y Job Cost: 1 i $ob . 17 0 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: $ . 00 (calculated from fee schedule) Mail in Processing Fee: $3.00 per application Total Enclosed: $ (013 o 0 0 Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP) PO Box 65 / Lillington, NC 27546 Contractor's Signature: 2 O ail DO NOT SEND CASH. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. 10106 GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page I of 1 ,cl.'li' ® ''351""' r b , R[ r "-"-°'t+~1 Jar 3 P +a;~^r-~'F,~n alb 'gyp z .'~A13~~@ F ~ ~ 4 TI • .i Y~~~.~ i t~ ~ f u~'S ~ I ~ ~I~ ~'L't~tttUi,.~V1~{W ~~tJ~_.. ( 1w&B2w~A00 9 Search 'S w All Selections 16*91.2M 0 Sel ns Clearl Sel Wls Feature ' Owner Inform bon tioaetoseomo ,E NAME SORRELLJ W & { ADDRt SORRELL GENEVA taoErety-,a~.aoo JOHNSON & ®i ADDR 2 + 143 SORRELL LANE ~l ADDR3 bdtle tweet- DUNN, tl STATE © NC f /jam t ` ZIP -O 283340000 ~q Parcel InfT t! _ `PIN _7 1771 1509-910133000 k 1w&91 0193000 Rp, PARCEVID O 715090003 REID`, 031019 yI SITUSr- ~ yAnn E S SORRELL LN 000143 X i { [EGALI R#B JAMES W SORRELL JR 1&00.9A779 u~ LEGAL2 MAP#2005-485..... _ ASSESSED 15.96 80.1817Ld0 ,i ACRE _ lax M651400o , CALC ACRES 16.03412246 IJ ' 160680638!-000 M9,90-6610f1w 16-08090881170 r" DEED BOOK 0902_ teibeba9acao s' 1 DEEDPAGE 779 1 5MI _,v ..a [ tw6tp07BBL00~~1w69(F0097AOD ~iK." 6km ; 16D6803061A00_ ite Information s 1EI ~E. P ,AN P D-- P NN ~L. GAt1 I LE6M~PR6PADD©RSR~A9$ER3A REI BBOOWDPAMSEC-[T DAT 4 AN 0715091509-91='JAMES W.MAP#2005-SORRELL LN .'15.96 00902 0779 19900206 ~SORF 0003 0133 000SORRELL'485 000143 X J W a RJR i Pre_v Current Page: [1]out of[1] Next _C. http://gistools.harnett.org/Freeance/Client/PublicAccess I /index.html?appcon6g=public 1 10/26/2009