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http://gistools.hamett.org/Freeance/Client/Pub licAccess 1 /index.html?appeonfig=publie 1 I 1 /9/2009
Application # CD 9. a
Please note this application Mail Harnett In application
County Central Permitting
with is part open a job
permit its. progress PO Box 65 Lillin9ton, NC 27546
Telephone Number 910-893-7525 Fax 910-893-2793
yes no www.harnett.org
Certification of Work Performed
By Owner/Contractor
Contractor Information
I MARK-AIR will complete the HEATING & A/C work on the project or
(Name) (Trade)
structure herein described. My state license number is 15674 All work shall comply with the I,
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: MARK-AIR HEATING & AIR COND.
Mailing Address: PO Box 41104
Street Address: FAYETTEVILLE. I N 8 09-1104
Business Phone: 910-484-6565 Email Address:
'Company name, address, & phone must match information on license.
Job Information
Land Owner's Name: KRISTEN TERRON Phone: (480)250-9920 ~c
Tenant/Building Owner(if different): Phone:
Construction or Site Address: 24 GUILFORD CT SPRING LAKE NC 28390
Specific Directions to Job from Lillington: ` OD
OVERHILLS CREEK _/00 7 Q /
Description .of-workto-b&clone: HEAT PUMP CONDENSING UNITS Job-Cost: 5383.00
Mechanical: New Unit With Ductwork _ New Unit Without Ductwork V Gas Piping
Electrical: 200 Amp _ <200 Amp _ Service Change _ Service Reconnect V Other _
Plumbing: Water/Sewer Tap _ Number of Baths _ Water Heater _ i
Permit Cost
Permit Fee: $ 100.00 (calculated from fee schedule)
Mail in Processing Fee: $3.00 per application
Total Enclosed: $ 103.00
I
Make check payable to: Harnett County Central Permitting (HCCP)
Mail completed application form to: Harnett County Central Permitting
PO Box 65
rI Lillington NC 27546 ,
Contractor's Signature: ` [ L Date: 11/06109
DO NOT SEND C INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
8106
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