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TRADE Application # 40 oTDOo?~~~~ Please note if this application Mail In application is part ofajob in progress Harnett County Central Permitting ~a ( D With open permits. PO Box 65 Lillington, NC 27546 0 D Telephone Number 910-893-7525 Fax 910-893-2793 yes _ no www.harnett.org Certification of Work Performed By Owner/Contractor Contractor Information Kent Johnson I. will complete the HVAC work on the project or (Name) (Trade) structure herein described. My state license number is 17164 All work shall comply with the State Building Code and all other applicable State & Local law, ordinances and regulations. Company Name: J&M Heating & Air, Inc. Mailing Address: 724 Turlington Rd Dunn, NC 28334 Street Address: SAME Business Phone: 910-897-5501 Email Address: jm28334@aol.com 'Company name, address, & phone must match information on license. J P1m"111Q© p Job Information Land Owner's Name: Phone S` Tenant/Building Owner(if different : Phone: S'A Construction or Site Address: w TA ` -PIN or Parcel # from GIS: S ecific ire t' s to J fr m Lillin ton: _ ~cN 1tltrr,7ltou lzi Q V& :111 (Z i Description of work to be done: (~\`A U1p' In -n~ Mechanical: New Unit With Ductwor Ali y Job Cost: 3 ~J ~0 r ~Q R V New Unp WI hout Ductwork- Gas Pipin _ Electrical: 200 Amp _ X200 Amp _ Service Change- Service Reconnect- Other _ Plumbing: Water/Sewer Tap _ Number of Baths _ Water Heater 1 Permit Cost Permit Fee: $ ~q , Ob (calculated from fee schedule) Mail In Processing Fee: $3.00 per application Total Enclosed: 4 d Q Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP) PO Box 65 Lillington, NC 27546 Contractor's Signature: _361 Date: DO NOT SEND C INC PLETE APPLICATIONS WILL NOT BE PROCESSED. 10106 GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page I of 1 C Search h ~t w All Selections a r ns Clear l Fn ame' Is Feature ,iI tion MOORE SAMUEL E & C r P ~ ~ ~ nq 1 294 68 CAPITOL HILL RD nA ~ ~ ~ 7 ~ , a _CI LILLINGTON ~ ~ ntbffi i t , i n ri y R ~T T I' 4C g P(275460000 J7 i!D on X 097525.00 024 0 I~ y ~6621 0096 1 y$ r I~ & 5 1306 NC SR X I n re y 1 rli a .48 ACRES CAPTIOL HILL} H~ D 48AC d 10.48614179 - on n+ i' ! DEED 688 0585 - 19796501 31500 X&S ~ ~ ' tte Information d PID PIR LESALt LEOA PROPADDR88 A88E88ACR DEOOK DPAOE SALEIA88E: 0640-47_:.qo 1130621 0096 7 25:000 CAPTIOC, 11306 NC SR X 0.48 0688 0585 3150085340 HILL LOT . _ http://gistools.hamett.org/Freeance/Client/PublicAccess 1/index.html?appconfig=public 1 3/10/2010