TRADES
ail ! a tics 'oh Application 7~~ CJ
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
Telephone Number 910.893-7525 Fax 910-893-2793
www.hamett_org
Certification of Work performed
BY Owner/Contractor
9 9 0 u p - r Inforn,atlon
will complete the
(Name} -&A' „p•_ _ ~ f, work on the project or
structure herein described. MY state license number is (Trade)
8g - . All work shell OOmplY with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: !
Mailing Address:
Street Address:
Business Phone: a _ l C•
'Name, address, $ phone must m etch Address:
atch Info►mebon on license,
Owner' Name: tQ C 6~
Construction or S to Add P °
O
ERecdcDalc on to tr t'
/ i
Deruxtptlcin of W0 to be done:
Mechanical: No i Unit With Ductw
Electrical: 20 Amp 400 Am No nit Without Du rk Gas piping
Plumbing: W r/Sewer Ta Amp Servrce Change- Service Reconnect
Job "I of work be done: p Number of eaths - Water Heater Other
PemNt Fee: $ p Q hl C t
(calculated from fee schedule)
Mail In Processing ee: 3 00 er
If Total Endosed: $ 5 ~Bcatron
D °?•p .op
Make check payable :
Mail completed appli lion form t°: Harnett
Harnett Central Permitting (HCCHarnett County
PO Box 65 Central Permitting
L llington, NC 27546.
Contractor's Signa :
DO NOT SE dreCAS NCOcyPLO A PL/CA770NS YVIL p7 PROCESSED.
8 ft
GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1
g Search
w All Selections!►
ns Clear
Is Feature
tion
GATES MACY J
230 LAKERIDGE DR
An {CAMERON
An ANC
+283260000
` ion
9566-70-9690.0001
-
.
099566010001 07
+ - rR~1+. 002263 I
et.' I ,U& S LAKERIDGE DR 000230 X
I j LF,Ci '1 LT#91 MIRE BRANCH
I ESTATES
SC04 PC4F/86D
Ir + G .60AC
:0.62169867
02049 _
0509 '
+
ite Information
j
1
l
!I PID PIN LEGAU I LWAL2
1~099566019566-70-MIRE SC#4 LAKERIDGE 0.6 02049 0509 119000134510
0001 07 9690.000 BRANCH PC#F/86D DR 000230 X
ESTATES,__
Zoom To Result Set
http://gistools.hamett.org/Frecance/Client/PublicAccess l /index.html?appconfig=public l 1/4/2010