TRADES
a ~
Application # /O j io
Please note if this application Mail In application
is pail ofa job in progress County Central Permitting
f with open permits. PO Box 65 Lillington, NC 27546 Ooa ct ¢ a ys ,
3 1 5 1 ~o
910-893-7525 Fax 910-893-2793
ves 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 /Z0.2- L . All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: &64 ga~ Flece e
Mailing Address: O~ t' u v ~7
Street Address:
Business Phone: /q l/ -/i2- ZrYl Email Address:
'Company name, address, & phone must match information on license.
Job Information
Land Owner's Name: Jay & Beatrice Parker Phone: 919-498-1455
TenantBuilding Owner (if different): Phone:
Construction or Site Address: 128 Pine Needles Drive Lillington NC. 27546
PIN or Parcel # from GIS: 0517-08-7552.000
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.,
Turn L onto S Main Sf/US-401/NC-21 0/NC-27, Turn R onto W Old RD/NC-27 WMC-27. Continue to follow NC-27 W/NC-27,
Turn R onto Pine Needles Dr., 128 Pine Needles Dr is on the R.
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: $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
Lillin on NC 27546
Contractor's Signature: Date:
DO NOT SEND CASH. IN PLETE APPLICATIONS WILL NOT BE PROCESSED.
TRADE 4/08
Application #
Mail In application
Please note if this application Harnett County Central Permitting
is part of a job in progress pa" C\ ck 'J'
with open permits. PO Box 65 Lillington, NC 27546 1
910-893-7525 Fax 910-893-2793 3 s i °
_-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, 8 phone must match information on license.
Job Information
Land Owner's Name: Jay & Beatrice Parker Phone: 919-498-1455
Tenant/Building Owner (if different): Phone:
Construction or Site Address: 128 Pine Needles Drive Lillington NC, 27546
PIN or Parcel # from GIS: 0517-08-7552.000
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.,
Turn L onto S Main SUUS-401 /NC-210/NC-27, Turn R onto W Old RD/NC-27 W/NC-27. Continue to follow NC-27 WMC-27,
Turn R onto Pine Needles Dr., 128 Pine Needles Dr is on the R.
Description of work to be done: Replacement of heat pump Job Cost: $8,848.00
Mechanical: New Unit With Ductwork _ New Unit Without Ductwork X Gas Piping_
- ,--Electrical: 200 Amp- <200Amp_ 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: 83.00 per application For Electrical Permits with Progress Energy
we need the premise number provided.
Total Enclosed: $ 53.00
Make check payable & Mail completed application forth to: Harnett County Central Pernitting (HCCP)
PO Box 65
Lillington, NC 27546
Contractor's Signature: ~y, 1/ 11" 6/- Date: 031c3lto
DO NOT SEND CASH. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
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