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Application #
Mail In atration
Please note if this application Harnett County Central Permitting
is pan of a job in progress PO Box 65 Lillington, NC 27546
with open permits.
910-893-7525 Fax 910-893-2793
tes no www.hamett.org/permits
Certification of Work Performed by Owner/Contractor
(Individual Trade Application)
Contractor Information
I, Wes McLeod will complete the mechanical work on the project or
(Name) (Trade)
structure herein described. My state license number is 27085 All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: 72 Degrees Heating & Air
Mailing Address: 2600 Jefferson Davis Hwy Sanford NC 27332
Street Address:
Business Phone: 919-777-2777 Email Address: wes cleanaimc.com
"Company name, address, & phone must match information on license.
Job Information
Land Owner's Name: Jerry & Catherine Anderson Phone: 919-842-3422
Tenant/Building Owner(if different) Phone:
Construction or Site Address: 91 Lexington Lane Cameron NC 28326
PIN or Parcel # from GIS: 9575-71-1005.000
Specific Directions to Job from Lillington:
E. on E. Front St. toward S 2"d St /2nd St. R onto S 2nd St /2nd St R onto E Killie re St L onto S Main SVUS-401 R
onto W Old Rd/NC 27 continue to follow NC-27 vv/NC-27, NC-87 S via ramp L toward Fayetteville R onto NC-24 L
onto Independence Wav R onto Heritage Wav L onto valley Forge way b. L onto Lexington Ln 91 Lexington Ln on L.
Description of work to be done: Replacement of HVAC unit Job Cost: $5000.00
-Mechanical: New Unit With Ductwork _ New Unit Without Ductwork X 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: $_50.00 (calculated from fee schedule)
Mail In Processing Fee: $3.00 per aoolication 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
Lillington, NC 27546
Contractor's Signature: Date: 1123 of
DO NOT SEND CASH. INCOMPLETE APPLICATIONS WILL NOT BE PR CESSED.
TRADE l/08
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Application #
Mail In aoolication
Please note if this application Harnett County Central Permitting
is part of a job in progress PO Box 65 Lillington, NC 27546
with open =permits>: -
' 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, Stephen Davis will complete the electrical work on the project or
(Name) (Trade)
structure herein described. My state license number is 20548 . All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: Smart Energy Solutions
Mailing Address: 511 E. Main Street Sanford NC 27330
Street Address:
Busine_ ss Phone: 919-777-5999 Email Address: smartenergystar ao :com
`Company name, address, & phone must match information on license.
Job Information
Land Owner's Name: Jerry & Catherine Anderson Phone: 919-842-3422
Tenant/Building Owner(if different): Phone:
Construction or Site Address: 91 Lexington Lane Cameron NC 28326
PIN or Parcel # from GIS: 9575-71-1005.000
Specific Directions to Job from Lillington:
E on E Front St toward S 2n' St 12ntl St R onto S 2"d St /2nd St R onto E Killiegrev St L onto S Main SVUS-401 R
onto W Old Rd/NC-27, continue to follow NC-27 W/NC-27 NC-87 S via ramp L toward Fayetteville. R onto NC-24 L
onto Independence Wav R onto Heritage Way L onto valley Forge Way S L onto Lexington Ln 91 Lexington Ln on L.
Description of work to be done: Wiring of HVAC Unit Job Cost: $300-00
-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: $_50.00 (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
Lillington, NC 27546
Contractors Signature: Date:
DO NOT SEND CASH. INC MPLETE APPLICATIONS WILL NOT BE PROCESSED.
TRADE 4108