TRADES nov ij ua ua:ojP P. if
5a 2007N 1 ~J l I
is ia;51 Planning HARNETT CO. PUNNING SERVICE69108932793 Harnett County Application # 0 17
Harnett County Central Permitting it
PO Box 85 Lillington, NC 27546
Telephone Number 910-893-7525 Fax 910-893-2793
vAm.harnett.org
Certification of Work Performed By OwnerlCoonb'actor .a ''tom
owner (s) of structure: "lam
Owner (s) Mailing Address: S
Pho a.
Land Owner Name (s):
Construction or Site Address:
PIN or Parcel
Job Coster 10,06 Description of Work to be done O t- t-~l1
Mechanical: New Unit With Ductwork r! Now Unit Without Ductwork _ Gas Piping
Electrical: Zoo Amp _ <200 Amp - Service Change _ Service Reconnect _ Other ✓
Plumbing: Water/Sewer Tap _ Number of Baths _ Water Heater _
Specific Directions to Job from Llllinaton:
Subdivision: Lot
I Kra ii ROO~W 9~ Dr~e &r:P have provided or will provide the a./ &Mc-- labor
(Contracbra Nam)
on this structure. I am the bullding owner or hold a NC state d &41J&A license
number which entitles me to pgrform such work on the above.ptructure legally. All
work shall comply with the State Building Code and all other applicable State and local laws,
ordinances and regulations. z
Structure owner(s) signature: Date:
Company Name: ra x2ezt26 Phone:
Address: 1672 49"r-D& 9~• 7~0
&ie,-,SAVar4 O-V- 2237
County: Ae-e Contractors License #:ISO 10-L 4 D99A? H 2r ff-3r et-li
Contractor's Signature: Date: (I -4-09
`Company name, address, & phone rlust p (hatch Inf ation on license.
12106
GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1
m r 2q~xi2 •~m (~("~i ^n r~+~t,~ply,Mi a i "7 1 I t
9 Search
he 1 w All Selections
ns Clean' _af
I~ 1 6732 - t Is Feature
tton "t
L ~ri t y
nn ^l u6&' L NAME STEWART RUBY OWENS t
F a ii AI~OR1
l ' ` • C 756 US 401 S
w ' BUNNLEVEL
A rq
i A ~p i6 NC Ir `a
1<'~I4 _ t # a 263230000
f`I~ " d, 1, wx r 566-57-0552.000
~~{'y' - + 1 < • . I~,,, R ID* ~ 120586 0140 "
a7 m a °.t REl„O ~ 001842
Ir_- 1 US 401 5
T _s. •'IG t71 S LTEWARBY 67
" - I , , 43AC
LEG' r -MAP#200167
ny
.43AC
4277575 _
y
on
" 3+'iS['•~d', t a " Q 154
7 >p ~f r a l 121 V,
fir.
® 511„ " ~?q A`16m.v"
ite Information
d PID PIN LEGAL? LEGAL2 PROPADDRSS ASSESSACRE DBOOK DPAGE
,~0519.06„,2ACRES,RES,S,., LLOYD
,°.11305090004 - •••.,,°^w TEW RT°RD • 0427 339
plp 000 ~i R ILEGAL2 DRSS ASSESSACREPDBOOKpDPAGE
0566-57- LT#2 RUBY MAP#2001,-US 401 S
http://gistools.hamett.org/Freeance/Client/PublicAccess 1/index.html?appconfig=publie 1 11/13/2009