TRADES
ApPlication#
-
Harnett County Central Permitting
please note if this application
is part of a job in progress PO Box 65 L{I{ington, NC 2754,
win, open permits. 910-893-7525 Fax g10-893-2793
www.harnett.org/permits
es no ofW0rk Performed by W ti
(Individual rlContractor
Trade Appl caon)
r• +rart0( IrtfOrenatiOIl
work on the project or
Wes McLeod will complete the mechanJrAllrade)
(Name) state A11 work shall comply with the
structure herein described. My license number is 27085 ,
or dinances and regulations.
State Building Code and all other applicable State & Local law,
Heeling & tf
NC 27332 - =
Company y2600 Jefferson Davis H Sanford
Mailing Address:
Address: we cleanairnc.com
Street Business Address: Phone: 919-777 2777 Email
hone must match information on license.
*Company name, address, & p
lob In_ f_ Phone: 919-498 2962
Land Owner's Name: Kim & Donald Adkins phone:
Tenant/Building Owner(if different :
Construction or Site Address: 121 Camden Court East
PIN or Parcel # from GIS: 9596-09-8050.000
S ecific Directions to Job from Lill tan:
Stag out going T un R onto W Id W J/NC-27 W/NC-27. Continue to follow NC-27 W/NG27, StIS 4011 - 10 C-27, E on E Front St toward S 2nd SU2nd t., urn R onto S 2nd SU2nd St., "Cum R onto F, KilCy
Turn L onto S Mein RdUTurn 11 onto Las ng Ct E, "Cum L onto Highland Forest Ih, 'fum L onto Camden Ct E.
Turn L onto Ting
- _ - i- Job Cost: $6.000.)-0 'mP
Description of work to be done: Re IacementNew Unit Without Ductwork X Gas Piping _
work_ Mechanical: New Unit With Duct
0 Amp _ Service Change Service Reconnect _ Other
Electrical: 200 Amp _ Number of Baths Water Heater
Plumbing: Water/Sewer Tap_
Parr*'r
Permit Fee: $_50 _.0 0 - (calculated from fee schedule)
For Electrical Permits with progress Energy
Mail In Processing Fee: ,I$ OO AVU01M we need the premise number provided.
Total Enclosed: $ 5300
Make check payable & Mail completed application form to: ' Bo 65unty central Permitting (HCCP)
illington, NC 27546
v
I Date:
D.
Contractors Signature: n /
DO NOT SEND CASH. INCOMPLETEAPPLICATIONS WILL NOT BE PROCESSE4/08
Application #
Mail in aoolication
_
Please note if this application Harnett County Central Permitting
is pan of a job in progress PO Box 65 Lillington, NC 27545 Q7~
with open permits. 910-893-7525 Fax 910-893-2793
_yes _no www.harnett.org/permits II"~1b
Certification of Work Performed by Owner/Contractor l
(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 Ener Solutions
Mailing Address: 511 East Main Street Sanford NC 27330
Street Address:
Business Phone: 919-777-5999 Email Address: smartenermystar(rDaol.com
`Company name, address, & phone must match information on license.
.lob Information
Land Owner's Name: Kim & Donald Adkins Phone: 919-498-2962
Tenant/Building Owner(if different): Phone:
Construction or Site Address: 121 Camden Court East
PIN or Parcel # from GIS: 9596-09-8050.000
Specific Directions to Job from Lillington:
Start out going E on E Front St toward S 2nd St/2nd St., Turn R onto S 2nd St/2nd St., Turn R onto E Killiegrey St.,
Ct E.C 27 WIC 77
Turn L onto S
Turn L onto Tinge n Rd, Turn R onto Lans ng Ct Turn Turn onto W Old RD/NC-27 W/NC-27. Continue to
to Highland Forest Dr, um L onto Camdfeollow
_Job Cost: $300.00
- Description of work to be done: Rewire heat pump
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 i Water Heater
ECO Cost
Permit Fee: $ 50.00 (calculated from fee schedule)
For Electrical Permits with Progress Energy
Mail In Processing Fee: $3 00 per application
we need the premise number provided.
Total Enclosed: $ 53.00
Box County Central Permitting (HCCP)
Make check payable & Mail completed application form to: Harnett
Lillington, NC 27546
J Date: 2 -O?-20
Contractor's Signature:
DO NOT SEND CASH. INCO PLE E APPLICATIONS WILL NOT BE PROCESSED. 4/08
TRADE
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