TRADES
Application # fd,~) e) y
Please note if this application Mail In application
is part ofa job in progress Harnett County Central Permitting
with open permits PO.Box 65 Lillington, NC 27546 Po' J cu -_4& 0,9x1
910-893-7525 Fax 910-893-2793 3 Is Ito
_-yes no www.hamett.org/permits
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 /22?,02 - L . All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: Lux Se
Mailing Address: x775 a _ ,
Street Address: O
Business Phone: Email Address:
`Company name, address, & phone must match information on license.
Job Information
Land Owner's Name: Marv & David Oberlander Phone: 814-460-1076
Tenant/Building Owner (if different): Phone:
Construction or Site Address: 125 Bay Tree Lane Sanford NC. 27332
PIN or Parcel # from GIS: 9587-50-1295.000
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 St2nd St., Turn R onto E Killiegrey St.,
Turn L onto S Main SUUS-401 /NC-21 0MC-27, Turn R onto W Old RD/NC-27 WMC-27. Continue to follow NC-27 WMC-27,
L on Buffalo Lake Rd. R onto Valley View Ct., L onto Peachtree Ln, R onto Bay Tree Ln, 125 Bay Tree Ln 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
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
Lill in on, NC 27546 /
Contractor's Signature: 4~1i~ze Date:
DO NOT SEND CAS N OMPLETE APPLICATIONS WILL NOT BE PROCESSED.
Application #
Mail In aoolication
Please note if in progress is Harnett County Central Permitting f&i cl Gcf1 q9 s7
part of a job in esss
with open permits. PO Box 65 Lillington, NC 27546
315 ~ ~ o
910-893-7525 Fax 910-893-2793
_yes no www.hamett.org/permits
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 -cleanaimc.com
'Company name, address, & phone must match information on license.
Job Information
Land Owner's Name: Marv & David Obe_rlander Phone: 814-460-1076
Tenant/Building Owner (if different): Phone:
Construction or Site Address: 125 Bay Tree Lane Sanford NC. 27332
PIN or Parcel # from GIS: 9587-50-1295.000
Specific Directions to Job from Lillington:
Stan out going E on E Front St toward S 2nd St2nd St., Turn R onto S 2nd St/2nd St., Turn R onto E Killiegrey St.,
Turn L onto S Main StIUS-40 1MC-210MC-27, Turn R onto W Old RDINC-27 W/NC-27. Continue to follow NC-27 WMC-27,
L on Buffalo Lake Rd. R onto Valley View Ct., L onto Peachtree Ln, R onto Bay Tree Ln, 125 Bay Tree Ln is on the L.
Description of work to be done: Replacement of heat pump Job Cost: $10.258.00
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
Lillington, NC 27546
Contractor's Signature: I 6 Date: )1-/(J
DO NOT SEND CASH. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
TRADE 4/08
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http://gistools.hamett.orgfFreeance/Client/PublicAccessl/index.html?appconflg=public 1 3/19/2010