TRADE
Application # /Q~ ~ O
„MXI In application
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
Telephone Number 910.893-7525 fax 910-893-2793
www.harnett.org
Certification of Work Performed
By Owner/Contractor
Contractor Information
will complete the 01 e- h a 0, ~r a work on the project or
(Name) (Trade)
structure herein described. My state license number is IL30 . All work shall comply with the
State' Building Code and all other applicable State &.Local law, ordinances and regulations.
i
Company Name:
Mailing Address:
Street Address:
Business Phone: *,7- Email Address:
•Name,address,.& phone must match information on license.
r~ Job Information,.,,
Owner' Name: J~ , -J • Phdne:-(9/0)57
Construction or Site Address: 1119 lea !)r S;Pr,:oa Lake- rve~ -19-5-70
Specific Directions to Job from Lillington:
•e rn
Description of work to be done: a 400) acka G `hall" urn
Mechanical: - New Unit With Ductwork ti New nit Without Ductwork _ Gas Piping
Electrical: 200 Amp _ <200 Amp _ Service Change - Service Reconnect - Other _
Plumbing: Water/Sewer Tap _ Number of Baths _ Water Heater
Job cost of work to be done:
Permit ost
Permit Fee: $ (calculated from fee schedule)
Mail In Processing-Fee: $33.00 per application
Total Enclosed:
Make check payable to: Harnett County, Central;Permittind (HCCP)
Mail'completed application form to: Harnett County Cenlral'Permitting
PO-Box-.85.....-.
/fLillinggtonNC -27,548 J
Contractor's Signature: LA4 Date: ! I o
DO NOT SEND CASH, I C MP ETE APPLICATIONS WILL NOT BE PROCESSED.
806
GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1
I":'~.. p n tYr 4 tt' 3 :'.'1'~ u•po '9 r.''d~ ~`$1➢t i~'t'~` `Ifi`j `ii,G?P I1A 7.;¢g„1
4 I , 1'~ sir II! .I c F ~i~t,4.r.urr {t~ lc TRW
4 ¢¢p,, n
1 ~*tG fj n hl it S ,
alroo- 1 Search
w All Selections
ns Cleari , t
I m* a 'hr
~t/~~), d ' t~~ •3 ti SCHLINK HAYWGOD '
r+ AYNE 8 WIFE
4i
A4DR11a SCHLINK BRENDA
i ~ 4 , a n ~ 1 Ir,I ¢ AE BTEVENS & `
1~, a~ r"~~ ` ` DR3 179 AZALEA DRIVEi
SPRING LAKE 13
NC 'y y
tn:. ~ I ~e5'y' ® 63900'000 _ ~
ion
W 514 00 9404 000 i k
$ f n 010514 0378
0179 x
183 l~ ~ 170 ~ ~ ] US A 0 S LEA DR 00of
t r 7 ak b s t f b t;AL'li LOT#171SEC#1
LLING
S a
r n ~ ~ s k 1 ,P SPRGS
I UEGA2 MB#1/52 .
u t >y , LAND U1 100LT
TYPE
n
CALC Ai" l 27775999
11 dip, a r"` 1 Sales on
' „ ~ R a x+ een a mcoo ,.'fil
a " rte Information
I I
O[PIN] [PID] [FuII_addre] [City] [House Numb]![Pre_direct[Street_ nam]I[Street_typ]'.
1A514=00= 010514 50 AZALEA 'SPRING 50.0 AZALEA DR
12086.000 0362 DR LAKE
0514-00. 010514 55 AZALEA SPRING V- I-~
T2229.000 0386 'DR LAKE 55.0 AZALEA DR
~0514-00- 010514 62 AZALEA SPRING
R9 n AZAI FA f1R
u > : i - r s , to -
http://gistools.hamett.org/Freeance/ClientfPublicAccess 1 /index.html?appconfig=public 1 3/2/2010