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TRADE Application #0 9© / Please note o this application Mail Harnett In application County Central Permitting is part of permitnts. progress PO Box 65 Lilliegton, NC 27546 with open per 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 1, &5 will complete the EL,n/C~ work on the project or (Name) (Trade) structure herein described. My state license number is ke6MIA4kgLIIS'~ . All work shall comply with the State Building Code and all other applicable State & Local law, ordinances and regulations. Company Name: ARS featuring RESCUE ROOTER :)I/ ryjuu Mailing Address: M c;gh WC '27615 Street Address: (919) 828-5147 Business Phone: Email Address, C4k mil( Li.oLCs.~AQS. C6] 1 'Company name, address, & phone must match information on license. Job Information Land Owner's Name: 15C~n6aL~ ~t~ Vr~ Phone: ~ Z52- Tenant/Building Owner(if different : 1 1 \ Phone: Construction or Site Address:ZI k~aL~E ) ~ ' \t ~G(U KK, 275C)I PIN or Parcel # from GIS: Specific Directions to Job from Lillington: DONALD RAY LN toward MCDOUGALD RD//RT@MCDOUGALD RD//SLIGHT RT@OLD US 421//RT@W OLD - RD//LFT@S MAIN ST/US-101 N TO NC-21 0E//LFT@JAMES NORRIS RD//LFT@WHEELER DR - Description of work to be done: L . ~S i~~ C t t. l Lj Jo ost: $ Mechanical: New Unit With Ductwork _ New Unit Without Ductwork Gas Piping _ Electrical: 200 Amp _ <200 Amp _ Service Change _ Service Reconnect _ Other ffC 9ZLu Plumbing: Water/Sewer Tap _ Number of Baths Water Heater Permit Cost Permit Fee: f 15 - (calculated from fee schedule) Mail In Processing Fee: $3.00 per application For Electrical Permits with Progress Energy C~ ~ we need the premise number provided. Total Enclosed: $ I I l~ - Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP) PO Box 65 Lillington, NC 27546 Contractor's Signature: Date:? DO NOT SEND CASH 1 OMPLETE APPLICATIONS WILL NOT BE PROCESSED. TRADE 4108 GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1 Fmk,' ° '~i! 411!v I~lit~ laig; _ I , `rn its„, 0( I! , ~ Y i] 1`. I ulur' 2a( h' ~lr• t 6~,IO ~I ~~Ill.! ! k'!TIr(,~ 1 ` - u" - Search t! Selections r - s ! ! ns Clear 1 r 1 , 4 as ` ! t o~KUVER RONALD G B WIFEr, ~1 0 5 9 .+ul ' ,§4, 7 821 WHEELER DRIVE ANGIER ~i ~ ~ Y ~ V ~ J275010000 , , 821 _ x{,,+038445 1 S 'WHEELER DR 000821 X - , '...1 LOT#143 SEC#3 PH#1 _ NEILLS .L: CREEK FARMS ! - 12.79534923 1706 9353 u p Information r=~ 10 PID PIN LEOALI LEOA PROPADD ASSESSA DBOO DPAO SAL ASSESSVA NI OT C 0663-52-SEC#3 CREEK WHEELER DR ! RC 1,040663 2.82 01706 0353 0 244220 0041 1422.000 PH#1 ,FARMS 000821 X ~ G NEILLS WI Zoom jo Result Set i ; .I1 P, i IiI i , ^fi http://gistoo I s. harn ett.org/Freeance/Client/PublicAccess 1 /index.htmI?appconfig=public 1 11/9/2009