TRADES
Mail In apoficatwon Application
Please note if this application Harnett County Central Permitting
is part of a job in progress PO Box 65 Lillington, NC 27546
with open permits.
910-893-7525 Fax 910-893-2793 PG( C'V--g, IbooS
des _ _no www.hamett.org/permits -
3
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: wesO-cleanaimc.com
"Company name, address, & phone must match information on license.
Job Information
Land Owner's Name: Lloyd & Peggy Jarrell Phone: 910-893-2099
Tenant/Building Owner (if different): Phone:
Construction or Site Address: 428 Joe Collins Road Lillin ton NC 27546
PIN or Parcel # from GIS: 063049-1338.000
Specific Directions to Job from Lillington:
Start out noina E on E Front St toward S 2nd St/2nd St Turn R onto S 2nd St/2nd St Turn R onto E Ivey st. Turn R onto f
strS 1 st st Turn L onto E Front St E Front St becomes US-421/Paul Green Memonal Hwv Turn R onto Joe Collins Rd. 426 Joe
Collins Rd is on the R.
Description of work to be done: Replacement of heat puma Job Cost: $6,120.00
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: $_5Q.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 forth to: Hamett County Central Permitting (HCCP)
PO Box 65
Lillington, NC 27546
Contractor's Signature: U06 Date: 3.12.10
DO NOT SEND CASH. INCOMPLETE 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
with open permits. PO Box 65 Lillington, NC 27546
f G1e+~ ooa S
910-893-7525 Fax 910-893-2793
_ycs no www.hamett.org/pernits 31 n I io
Certification of Work Performed by Owner/Contractor
(Individual Trade Application)
Contractor Information
I, JVY J will complete the electrical work on the project or
(Name) (Trade)
structure herein described. My state license number is ~~J07-L All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name:
Mailing Address: xJ . L zej
Street Address: r
Business Phone: Email Address:
'Company name, address, & phone must match information on license.
Job Information
Land Owner's Name: Lloyd & Peggy Jarrell Phone: 910-893-2099
Tenant/Building Owner (if different): Phone:
Construction or Site Address: 428 Joe Collins Road Lillington NC 27546
PIN or Parcel # from GIS: 0630-49-1338.000
Specific Directions to Job from Lillington:
Start out noina E on E Front St toward S 2nd St2nd St Turn R onto S 2nd St/2nd St.. Turn R onto E Ivey st. Turn R onto 1st/S 1st st Turn L onto E Front St E Front St becomes US-4211PW Green Memorial Hwy. Turn R onto Joe Collins Rd. 428 Joe
Collins Rd 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/Sewef 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: /0 Z':~ Date: 3' I o ' I y
DO NOT SEND CAS INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
TRADE 4/08
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