TRADES Application # �� — GC
Please note if this application Mail In application
is part of ajob in progress Harnett County Central Permitting �y
with open permits. PO Box 65 Lillington, NC 27546
Telephone Number 910 - 893 -7525 Fax 910 - 893 -2793
yes no www.harnett.org
Certification of Work Performed
By Owner /Contractor
4 Contractor Information
1, v a ` ,y/ c�cs will complete the Rk/1
work on the project or
(Klame) (Trade)
structure herein described. My state license number is / / //? . All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: 7 . / p /� q� �y L / afte.S ,rli�r (7 v
Mailing Address: A 0. U 0 / k / Y59 ca /(le And
Street Address: 11'1 aid S/, ` 2 4 ,4e /4' I c e w .- tel _/ or 4/6- Business Phone: 9/0 — gee 6/ 7C) Email Address: 0 • dere 7. ,was ®/4 /NJ,
"Company name, address, & phone must match information on license.
rJ
Jo Infor ati n
Land Owner's Name: ,(/ "id,.„ S Phone:
Tenant/Building Owner(if different): // Phone:
Construction or Site Address: /LT L(i 4 gd 04 -1 r S / r , r �. Lf .te_
Specific Directions to Job from
(� m / �C 0.2n0
7 ,----- , - 0 c....:
Description of work to be done: CA04 re pr e o .tZn f AJJ ti / SS b Cost: "/ J' r�
Mechanical: New Unit With Ductwore New Unit Without Dfictwork _ Gas Piping
Electrical: 200 Amp _ <200 Amp Service Change Service Reconnect _ Other
Plumbing: Water /Sewer Tap ___ Number of Baths _ Water Heater
A° /� _
6 (/ Permit Cost
Permit Fee: $ (calculated from fee schedule)
Mail In Processing Fee: 3.00 er Iica 'on
Total Enclosed: $ ( / o
de
Make check payable to: Harnett County Central Permitting (HCCP)
Mail completed application form to: Harnett County Central Permitting
Pe :.x 65
4 / • / C 2754,
Contractor's Signature: �-atfi •�/ Date: y /„2p/zJ
DO NOT SEND CASH. NCOM TE APPLICATIONS WILL NOT BE PROCESSED.
8106
Application #
Please note if this application Mail In application
s part of a job in progress Harnett County Central Permitting
with open permits. PO Box 65 Lillington, NC 27546
Telephone Number 910 - 893 -7525 Fax 910 - 893 -2793
yes no www.harnett.org
Certification of Work Performed
By Owner /Contractor
// "� �/ Contractor Information
ii " q �� / ^ will complete the !� / 1 " a work on the project or
(ame) (Trade)
structure herein described. My state license number is /S0 99 y. All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: e es //o qC be i t' s ,tee ~ Q
Mailing Address: 0• i p X 9 3 5 FA! /(/t? JFY //
Street Address: 01 col 0 _, t ( Q /,! /E /,• 2 G L i * fa w . /td E NG /if
Business Phone: 7/0 — 4 1 el — 6e 7O Email Address: r" V i/o' X. Era 015Q C. /7/4‘0.•
'Company name, address, & phone must match information on license.
• n it
As //�� J b Inform tion
Land Owner's Name: , /6 /'o, , a S Phone:
Tenant/Building Owner(if different): / Phone:
Construction or Site Address: /6 3 /�j or , - w eel b r co e a
Specific Directions to Job from Lillington:
A /l/C (At .r
Description of work to be done: P6vi rc � a"
!'ctoslens.:. line oe Cost: t � 300_.
- _ Mechanical: New With Ductwork New Unit WithouNDuctwork _ Gas Piping
Electrical: 200 Amp _ <200 Amp _ Service Change _ Service Reconnect _ Other
Plumbing: Water /Sewer Tap _ Number of Baths _ Water Heater _
t 6 6 Permit Cost
Permit Fee: $ (calculated from fee schedule)
Mail In Processi Fee: $3.00 • : r applkation
Total Enclosed: $ %- i 66..
Make check payable to: Harnett County Central Permitting (HCCP)
Mail completed application form to: Harnett County Central Permitting
PO Box 65
1 gto , NC 27546 _
Contractor's Signature: _A■.jagy Date: 5 0 / a
DO NOT SEND CASH. INC T LETS APPLICATIONS WILL NOT BE PROC SSED.
6/06
t
GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1
{� 1: \� � � `�} h k ® r4 rr '�� ( ., ,i ; ' 41 t(t F '''4'''S'' . ..5 itj " < - a
w a R, ° Li, irk , ,f- Nr I# -Leff [ `^ ` 4_9 t
t3 Ae , , I i k ' �� � Search
a ;; ri I !r t !
;K - �>t 313s ,� � �'j � u r , � +� �„y� j � �� o w All Selections
�� i " lorkl .r ,
115. ^ I tl � ti i , } #i ii a§ N . x RL i', ,.,,:p„,,,. Ions
Clear �
'° `4r t '
t o r...� � 1 . r g Ier s Feature r�
� � �4 H � � �� , ; � '#��+�tl' + ��� � I � � rf O4 -nrr ln f n ri . HO '�
�. c 0 :' li t s a�ii* _ (If':
L
a r - DOMINION PROPERT I,
1 ,' g . R� 1 �INVESTMENTSB :,
�t� #!j >d 1 .p �, M1 e � , f R 9 i� + � �f lip ..__ �LLCB_ ii
7 ; �. � I f 1 �t v� y� q ��N� 3 690 N REILLY RD , iII 1. 0
r + };Sn v $ ;: .4 � ,. y% ^' - � �"I ~ - t� 1 i st 'I �FAYETTEVILLE ;
,l. 5d' 5' .. ... 4 Ii
t :$111 '. E y - L. r t '_`'.. , 1 r s`� I c i NC
�� 1� �rr�'" � � v nr# .� ! L �! s f ° i� f � ° 283000000
��
1 21t� - a lqP� S e 4 i . 1 { a i ' , 1 c 0r, 7 1 hon 08-4365.000
i!
2 4A�'� 1 E t �g ' + .* s !'' i�y�' t 1, y lt ^fi X51
t s "�` ! 5 `+L i 1 ! y �� 1 r !� �} n 0 10514 0014 _ rim
V ' Vr I . � "Z r Y' 9I 1 L 1:i 1 � ... " 0036429 ..
' " a 1. r tl ' 1 C r d p IiL:P tt 4 f l ;�'1!�14T" Dui I L`- 15.° HPO RDE X
} )1...t.;'..1.-/y1,:::'-;',4t;141-1f; -- .;. ' e. t I.,c zu ' ll l I r r 1 'x l l " # l � l ry -f j I � .„.L ,_ LT #1 NORTHPOINT APTS •
h ,i! '� b 1 s_r r "�`li w l , ' �� i �y� a ° i ! �15 0
hm, .v j � s , � ' 115 e ! °�„ JLSS'i•• tl l M1� Ir e • MAP#2005909
2 ' 4 � 9 '+: i p'.. , tti .?5 ¶i { 't �tl . n 4. l d r H
� r`4 it � aIa �" "' ` � , e �pk I �{��t p ity � l 4 i r �1501AC
ar( �! - ( r 'y f � - 7 U'd} l` n t _
1. F �k- tl a ',4 t i 1 ' ' ' g ll LT I3 # a 0 S 1 14 .�....
4 . 5 11 tlt h I +; t �1S 1t s , {w >4 qi it '� f6.,:;,...,. v. 13 629 74384
I '94,7, ��i� ���� "; d 1 y, (T l l r w If
�, ^^ f l I xI l S .0 l �1 i � �t�i. tip alil 1 ay,, :—
7 k'I: 1 , h � + a,1 r , i N ki t' � 1 � l � I1 ,!`$C•21; Ir174::"; to 2244
r y v "d ( t . /, l .. a ! h 2 i 6 6 f84I(�n.. ' ,j417ii u " �i I r t.,At- i
a 1 d l �I 1 a r i =°,^ l� 1 'w l It J ni n 1tl i '� �l
® �� \--;k1.111 ,, '' t I � h ? 1 ' -' ' 011!6' ,I' k " I Pyt A 5 .. .�- u,w �hl:ili� �Ii ,IIi,NLa.,.: 'I I��n. Liti t �_
I.. ,�. ''' I, I i n ! a . l �� } � , -Jp� i� i to i f LI tl' t ite
r � f >.•
::,„,.,.€,.....,,..„„,,,,,......
„,...„,,,,..„,_:....„:
r IPINI j uu �[ !�e�kl [ c�(AKYI J [Ndieo , l^Nl }iPa�awnl 4U har I e9�AlP�f
1 . 0 1 LAKE
5 4 - 0 ¢_ `010514 W EDGEWOO D [S P RING '16 I WEDGEWOOD DR
4365000 b014 DR '..
9587_70- 03958707 24 - -- - -- 2 WED GEWOOD�CT
1318 000 0020 03 WEDGEWOOD S {{ANFORD }}fi�tt I m
]il • :. .d.. ,..w 4 + : �. l { .. I.....,c? Y Il W ,�II„F„S vv._ w3',I:III�'� triL v,i... u Ge i K ii �u t,�. ,. 1
http:/ /gistools.harnett.org/Freeance/ Client/ PublicAccess1 /index.html ?appconfig public1 5/3/2010