BUILDING Application a
10-50024517
Harnett County Central Permitting
PO Box 65 Ullington, NC 27546
910-893-7525 Fax 910-893-2793
wwWharnettorg/permitS
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
awner (s) of Stnicture: Showcase Construction Co . Phone : 918-864-0247
Owner (s) Mailing Addmsei:550e Yadkin Rd . Fayetteville, NC 28303
Land Owner Name (s): Showcase Construction Co . fihone:910-864- 024 7
Construction or Site Address:Lot 327q, 76 Cedar Lane, Sanford, NC 27332
PIN or Parcel # from GIS: 9595
Job Cost $ 7 0 0 0 •or of Work to be done Provide New Electr work
Mechanical: New Unit With Ductwork New Unit Without Ductwork Gas Piping
Electrical*: 200 Arne X <200 Amp Service Change Service Reconnect Other
• For Progress Energy customers we need the premise number
Plumbing: Water/Sewer Tap Number of Baths Water Neater
o.t J MUHL:
e t :u a o a ea, eft into Carolina Lakes, Left at T
onto Carolina Way, Continue to Right onto Cedar Lane, house on Right
Subdivision: Carolina Lakes Lot# 32 Q .
Showcase COrtetruCtion Co. win p th General Contractor labor on this stmcture.
(Contractors Name) (Trade)
I am the building owner or my NC state lidense number is 41883 which entitles me to
perform such work on the above structure legally. All work shall comply with Me State Building Code
and all other applicable State and local laws, ordinan d mutations.
Structure owner(s) signature: 1 1 PA
a ri a 2 — Date : 09 24
****Please Replace T&N Elect 'cal with sandy Ridge Electric Inc. *********
Company Name: Sandy Ridge Electric Inc • Phone: 910
Address: 454 Whitehead Rd, Fayetteville, NC
County Cumberland
Contractor's License #: 10006U aii Address: keithasandyriclg electric . corn
;
Contractor's Signature: . tikte Date:
*Company name, address, & phone must match Information on license.
Individual Trade Appliaition 1 of 1 06110