TRADES
Application# 16UZ
Mail In application
Please note if this application Harnett County Central Permitting
is part of a job in progress
with open permits PO Box 65 Lillington, NC 27546
.
910-893-7525 Fax 910-893-2793 Pc( cu -+6 wc'09
es no www.harned.org/permits 31i ll/o
Certification of Work Performed by Owner/Contractor
(Individual Trade Application)
Contractor Information
I, Wes McLeod will complete the mechanical work on the project or
(Name) (Trade)
structure herein described. My state license number is 27085 All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: 72 Degrees Heating & Air
Mailing Address: 2600 Jefferson Davis Hwy Sanford NC. 27332
Street Address:
Business Phone: 919-777-2777 Email Address: wes(cDcleanaimc.com
'Company name, address, & phone must match information on license.
Job Information
Land Owner's Name: Alexander McKoy Phone: 919-498.6939
Tenant/Building Owner (if different): Phone:
Construction or Site Address: 73 Forest Drive Cameron NC. 28326
PIN or Parcel # from GIS: 9555-96-4899.000
Specific Directions to Job from Lillington:
Start out going E on E Front St toward S 2nd St2nd St.. Turn R onto S 2nd St/2nd St.. Turn R onto E IGllieurey Turn L onto S
Main SUUS-401/NC-210/NC-27. Turn R onto W Old Rd/NC-27W/NC-27. Continue to follow NC-27W/NC-27, Turn R onto
NC-24/NC-27, Turn L onto McKoy Town Rd, Turn R onto Forest Dr, 73 Forest Dr is on the L.
Description of work to be done: Replacement of heat pump Job Cost $5.700.00
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 _ Water Heater
Permit Cost
Permit Fee: $ 50.00 (calculated from fee schedule)
Mail-In Processing Fee: 53.00 per application For Electrical Permits with Progress Energy
we need the premise number provided.
Total Enclosed: $ 53.00
Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP)
PO Box 65
l Lillington, NC 27546
Contractor's Signature: 12, Date: -12-10
DO NOT SEND CASH. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
TRADE 4/08
Application #
Mail In application
is part Please of a note job in this progress application Harnett County Central Permitting
with open permits. PO Box 65 Lillington, NC 27546
910-893-7525 Fax 910-893-2793 42cl t=k.* two_)
des no www.hamett.org/permits
3 f i~ loo
Certification of Work Performed by Owner/Contractor
(Individual Trade Application)
Contractor Information
I. will complete the electrical work on the project or
(Name) (Trade)
structure herein described. My state license number is /290,;~- Z_ All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: c ,
Mailing Address: * k
Street Address: .C,
Business Phone: Email Address:
'Company_ name, address, & phone must match information on license.
Job Information
Land Owner's Name: Alexander McKov Phone: 919-498-6939
TenantBuilding Owner (if different): Phone:
Construction or Site Address: 73 Forest Drive Cameron NC 28326
PIN or Parcel # from GIS: 9555-96-4899.000
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 Killiegrev Turn L onto S
Main SUUS-401/NC-210MC-27. Turn R onto W Old RdMC-27 W/NC-27. Continue to follow NC-27 WMC-27 Turn R onto
NC-24/NC-27, Turn L onto McKoy Town Rd, Turn R onto Forest Dr, 73 Forest Dr is on the L.
Description of work to be done: Rewire heat pump Job Cost $300.00
Mechanical: New Unit With Ductwork _ New Unit Without Ductwork X Gas Piping _
Electrical: 200 Amp _ <200 Amp _ Service Change _ Service Reconnect _ Other V/
Plumbing: Water/Sewer Tap _ Number of Baths - Water Heater
Permit Cost
Permit Fee: $ 50.00 (calculated from fee schedule)
Mail In Processing Fee: $3.00 per application For Electrical Permits with Progress Energy
we need the premise number provided.
Total Enclosed: $ 53.00
Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP)
PO Box 65
Lillington, NC 27546
Contractor's Signature: 1~~Ilxe Date: 3 Z 10
DO NOT SEND CAS CO LETE APPLICATIONS WILL NOT BE PROCESSED.
TRADE 4/08
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