TRADES
Application # O
Please note if this application Mail In application •y
is part of a job in progress -Harnett County Central Permitting
with open permits. PO Box 65 Lillington, NIC 27546
910-893-7525 Fax 910-893-2793
_ yes _ no www.hamett.org/permits
Certification of Work Performed by Owner/Contractor
(Individual Trade Application)
Contractor Information
I, Wes Me-Laock will complete the tYtec~onicn_~ work on the project or
(Name) (Trade)
structure herein described. My state license number is )'I (As All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: 10 ng, r:= 4eo_,;rna -4 )ctr
Mailing Address: 9lcoo ~erxson L1o.,ts HWU .
Street Address:
Business Phone: (919)9-19- x'1`1'1 Email Address: Wes (2 r\C0.n0,)r7rC• Com
'Company name, address, & phone must match information on license.
1 Job Information
Land Owner's Name: (2lll A. 1 .~,_iGQ Phonetil!°) oa-(DUyi
Tenant/Building Owner(if different) Phone:
Construction or Site Address: 8 ( ~a_4,tj _T-nrag, W S~
PIN or Parcel # from GIS: °IS'iS-(an-S ~a I. OcNin
Specific Directions to Job from Liilinoton:
G. an E -Pram- 5t. iouw"-ci sand S!•►ands+..1rivot PA a, 1R" 5+ .a mAt. Flonio I~' Ilirn eys}
• a Mile L onto 5. mwln SF •a Mile- 0, onto W old ¢.d 4c.a1w INC- 2'7 11.5 miles C 87 SS v;w J
L l m Flt NC W iwl 4.Sn, ks
L on-}a Ihda.pcnd,nce '1 Mite , 2 onto r:bo~. Woo .3 m'.\e, L anb tktte. wo.~S.
Description of work to be done: Ne kpCet ~ nk AeDz EAytnc ob Cost:V} . M. 00
Mechanical: New Unit With Ductw rk _ New Unit Without Ductwor _ 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: $ S0.00 (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: $ 53.00
Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP)
PO Box 65
ll M Lillington, NC 27546
t
Contractor's Signature: , moo 1 /6~ Date: 11 k-409
DO NOT SEND CASH. INCOMPLETE APPLICATIONS WILL NOT B P OCESSED.
TRADE 4/08
Application #
Please note if this application Mail In application
is part of a job"in progress Harnett County Central Permitting
with open permits. PO Box 65 Lillington, NC 27546
910-893-7525 Fax 910-893-2793
yes _ no www.hamett.org/permits
Certification of Work Performed by Owner/Contractor
(Individual Trade Application)
Contractor Information
I, skzyu-N ~~taatis will complete the -eltoMr-c.N work on the project or
(Name) (Trade)
structure herein described. My state license number is QDS`+-S All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: o
Mailing Address: S11 E~ • Ma]
Street Address:
Business Phone: (a1cb -irl-I -S°Ig9 Email Address: 8tno~ ?r r<<s~a.~onl. cbm
'Company name, address, & phone must match information on license-
Job Information
Land Owner's Name: ~i11-E Cz4ecc, War4 Phone~_CILo~ c1c1B-tats%2
Tenant/Building Owner(if different): Phone:
Construction or Site Address: 81 W
PIN or Parcel # from GIS: dS9n-U0 - . BS\•orn
Specific Directions to Job from Lillington:
C. or. l;• Fronk St it,wnxA S a^~ 5k Ja-d 5+. anfu 5 RO 5+ 1-2 "=l Si-. V. oniu Killieatw 3F.~
L orlo S tVb n R onlo W nld 2ri~NCA1W rNG.27t NG-$lg vto sw ron on L ~oawrd
~wueiknnik _+nlu NC34W exl} reword. Cnr•Nnno t R ante NC.14~ L oveta lndt t2 onto
41Vv4n t. onio VW\t. 1k~ Woy SovA\ ~-1
Description of work to be done: JJR a Jbsxxwa nk of 1}yaC utor - Job Cost: VZ ~31S.oo
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: $ SO. M (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: $ IF3A•00
Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP)
PO Box 65
4tA1 Lillington, NC 27546
Contractor's Signature: Date: i I V o _
DO NOT SEND CA C PLETE APPLICATIONS WILL NOT B PR CESSED.
TRADE 4108
GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1
i I ~ X ~ ~ ~ irs F ~ 148; 7i slyp r L f + p ~4 i ! N F! W~'
t E i`.J •71111 't
( L "r, Ma Search
1 p4 Selections
e ure
M-96-1p
A i + Y^•
F WILLIAM H JR ,
DDR
~!xh~ R I 7~~~ ` ~r ~ . Y~' ADD 8 q ALLEY FORGE WAY ~E'
H 1
r 7 s ,esra• ~e»oao ~ ST EilFrik~t Q
281 0000
r r P~ r ,Into ~ Ion"" -
S~'
>r
e _ ~ ~ £ µ -PIN Ay%J', 80-5881.000
r`i PA D 1 9 502 0186 02
59 $ SIT `A A~ EYFORGE WAY
' ' , 8d _ QI~ H ST 00281X.
71 HERITAGE VILL
r+ + I~
m 1flh,
.i v
® fit" ` Ala: ormation
d PID PIN LMLt
! VALLEY
995750219575-60_ LT#F71 S#3 FORGE WAY !
1
018602 HERITAGE, PC#F/654DSOUTH ST 1 1264 0616 6450056680
5B81.000.... !
WILL PH#6 '00261X I
~i r ti ( 411 _ t,
http://gistools.harnett.org/Freeance/Client/PublicAccessl /index.html?appeonfig=public 1 11/16/2009