TRADES I
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
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 15874
y All work shall comply with the
I
i
State Building Code and allother applicable State & Local law, ordinances and regulations.
Company Name: MARK-AIR HEATING & AIR COND.
Mailing Address: PO Box 41104
Street Address: FAYETTEVILLE, nc 28309-1104
i Business Phone: 910-484-6565 Email Address:
'Company name, address, & phone must match information on license.
Job Information
Land Owner's Name: AMOS FISCHER Phone: 893-3796
Tenant/Building Owner(if different): Phone:
Construction or Site Address: 47 MUSCADINE CT
Specific Directions to Job from Lillington:
PLANTATION @ VINYARD GREEN IN LILLINGTON
Description of-work-to-be-done: HEAT PUMP CONDENSING UNIT Job-Cost: 2900.00
Mechanical:-New Unit With Ductwork _ New Unit Without Ductwork -Gas Piping _ l
Electrical: 200 Amp _ <200 Amp _ Service Change _ Service Reconnect _ Other
Plumbing: Water/Sewer Tap _ Number of Baths _ Water Heater _
Permit Cost
Permit Fee: $ 65.00 (calculated from fee schedule)
Mail In Processing Fee: $3.00 per application
Total Enclosed: $ 68.00
Make check payable to: Harnett County Central Permitting (HCCP)
Mail completed application form to: Harnett County Central Permitting
I PO Box 65
f1 Lillington NC X2}7546
Contractor's Signature: l l f1 Date: 12/10/09
DO NOT SEND C . INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
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http://gistools.harnett.org/Frecance/Client/PublicAccess 1 /index.html?appconfig=public 1 12/15/2009