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TRADE Application #/e9 (.5 Mail In application . j j , Please note if this application Harnett County Central Permitting �l is part of a job in progress 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 Kent Johnson will complete the Mechanical - HVAC work on the project or (Name) (Trade) structure herein described. My state license number is 17164 . All work shall comply with the State Building Code and all other applicable State & Local law, ordinances and regulations. — Company Name: J&,M Heating $ Air ,-•Inc: • - Mailing Address: 724 Turlington Road Dunn, NC 28334 Street Address: Same Business Phone: 910 897 - 5501 Email Address: *Company name, address, & phone must match information on license. Ma Information Land Owner's Name: J NI( \ Phone: Tenant/Building Owner(if different : Z.. t 1),ti. Phone: Construction or Site Address: • • . a 1 UlEta 1 '„ 5 • PIN or Parcel # from GIS: • Specific Directions to Job from Lillington.�.: r �±� ( MI ■ : _ v.,. % t ��'• n _ _r ltd ..� ,It'-1,iAte I y€.7 ut lt& 4 0 `- kV'l ton © - . Description of work to be done: ' l CLgq4WA Job Cost: 5 1 000 , 0 0 Mechanical: New Unit With Ductwork `l New Unlit Without Ductwork _ 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: $ to s.O 0 (calculated from fee schedule) Mail In Processing Fee: $3.00 per application Total Enclosed: $ kfi. 00 ' Make check payable & Mail completed application form to: • Harnett County Central Permitting (HCCP) PO Box 65 L Lillington, NC 27546 Contractor's Signature: id Dat (4t 4 + I n DO NOT SEND C SH. IN OM�PPLICATIONS WILL NOT BE PROCESSED. 10/06 GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1 a # � s � ^ i �"' I nr �. � „ rni r n l r • e a u Pi i r j tail � �fi TEit T t( 7 Klux E 7 7 - iF.. r . nv e r - �Iir,�jligpirgi,' 11, ' „: `'l��r� I 'u ili 4L e e �� -,. I a� 6��di�ullIu� r 10 5 ' • .. tit's” r P , . , .. • ; rr r °: '� Mapping Search a " • T 1 '�' 1 r ..' ' 4 .1 a + : = 4 I Show All Selections i q 1. 1, r � x^r , r p � +. E`} 1r'• r �iet r � ' t f a r ' ;+ Selection Options Clear f 1 1 / ., 'r>, ' r r 1. � a' ; ' ' , Selected Parcels Feature n4 , r 4 z t ^ a - Owner Information lg h 1, -Lift: S c'' uu ,x x ;''r' 594 1 ti NAME BUZZARD ROBERTAB ' 0 . 1 1 r iii s� :> "' k 1 i e FE g `' tti t a — r r[ 1�;j '& J 4"i'r '� t � IR .' � -` Ail Hi ADDRt BUZZARD TONYA M 8 I ,..N +\ ri i '' ADDR2 ti « { r 1 l ` 1 i ,1 � a�I, n li f ADDR3 PO BOX 160 ' iN"3 ,!pr CITY LILLINGTON 6 k . <` ' x . I . STATE NC � ;w r, � ZIP r75460000 3 p4 i, ){ if . 1 r 1 ( f 1r 11 41C .. .41 Parcel Information -- - -- 3> ^ I fi34, ' , r T.ai PIN 0579-18-7369.000 ''' -':1:‘',". 4 C `7 ? 7 1 PARCEL ID 110579 0164 1 31 ; IF. r Ur x r. i —n Y u A , I l r r. iq r r " � k �i i.. . r _ �wll�li�'i - .- krii -.ti , d .,i'v vra.,i V 4_ , � 1 ,m�,. ...... Site Information �, , ',1 ';14..i.,:-.7 : y )4`[��rk V : d [PIN] �[PID] I[Full_addre]I[Clty] [ House_NUmb] [Pre_direct] [S[reet_nam]�[St I m 0670-20-V KEITH I 9,-..,11 1 178 LILLINGTON'1080 (KEITH HILLS 7678 000 HILLS RD x 0670.20 110579150 KEITH LILLINGTON 150.0 KEITH HILLS RDw� 6416 000163 HILLS RD :. :, 9 , a ly I'II r ad' it ' N t ,.7'1! Ili �.;, fw"'#.wiL42ux.«.m�.0 .A:z....b ..isi kv lh .m.WZnr r, fi"'F .ii ii iH 1i.PS'ia^4`T"`-.,ux. L http:// gistools. harnett. org /Freeance /Client/PublicAccess 1 /index.html ?appconfig= publiel 6/7/2010