TRADE Application # 19 r°a2�f57
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
910 -893 -7525 Fax 910- 893 -2793
www.harnettorg/permits
Certification of Work Performed By Owner /Contractor
(Individual Trade Application)
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Owner (s) of Structure: i avl D-At Phone: 9 1 9 — L cy9 „ 3 q I r i I Owner (s) Mailing Address: / Pr ca it 4 N C v2 7 3 3 2--
Land Owner Name (s): /. / / 4 P one:
. i
Construction or Site Address: S"2 F Aa < u e /
PIN or Parcel # from GIS: '. / 1 OP 2 : c- �
,.
Job Cost: Description of Work to be done-COW/9d A � , ��
Mechanical: New Unit With Ductwork _ New Unit Without Ductwork _ Gas Piping
Electrical *: 200 Amp _ <200 Amp Service Change _ Service Reconnect Other
For Progress Energy customers we need the premise number
Plumbing: Water /Sewer Tap Number of Baths Water Heater
Specific Directions to Job from Lillington: I
2 ,1 //C
I
Subdivision: 114 Pitti, Lot #: 7
I 4 // /U4 Pr will provide the F Lr%it/l / labor on this structure.
'(Contractors Name) (Trade)
I am the building owner or my NC state license number is A 4 Olvn A , which entitles me to
perform such work on the above structure legally. All work shall comply with the State Building Code
and all other applicable State and lo al laws, ord' . . nces and regulations. / /
lliir Structure owner(s) signatur-7 i %�_ Date: -`� /
C' p. • - u -: Phone:
Address:
County: Contractor's License #:
Contractor's Si' re: Date:
*Co . > , y name, address, & phone must match Information on license.
TRADE 4/08
1611111111% .
IR 1" I' 11111111111111
1 0 4 1111 1: 4
NETT C U Obl X ID#
�� ' •1 � b FOR REGISTRATION Ay ova
e of DEEDS
6 K:2126 P6: *I08 FEE: $22, 00
NC FEY STRIP:p00,00
-- innrifTrea. I51RIJ # 3tiiiii
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N + ' . r e r • LINA GENERAL WARRANTY DEED
Excise Tax: 100.00 PIN:
Mail To: Jason O. W O
- • s
This instrument was prepared by: r RA
Brief description for the Index • Wi f 1
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THIS DEED made this 19th day of March , 2 0 and between
GRANTOR GRANTEE
Clyde L. Patterson an unmarried man
111 1 z and wife Ava 1). Diaz
4271 Leaflet Church Rd. i ' • int
Broadway, NC 27505 • • NC 27332
0
[Mailing address for each Grantor required] [M each Grantee required
The designation Grantor and Grantee as used herein shall include said path s, airs, • ! son, and assigns, and shall
include singular, plural, masculine, feminine or neuter as required by context
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grante- - c •, • - .i • is hereby
aclmowledged, has and by these presents does grant, bargain, sell and convey unto .. Ir - s I:• • le, all that certain
lot or parcel of land attuned in the City of , Upper Little • • , ' • , • . ett County,
North Carolina and more particularly descr as follows:
BEING a tract of land designated as Tract No. 7 on a plat of survey entitled "Survey or ' dlle . 1 Me i and
Elizabeth W. McLeod estate division," containing 9.58 acres more or less on Old Autry • 1 ' I. - • : tler•Ross
Road) and near State Road 1214 (Mt. Pisgah Church Road), In Upper Little River Townshi • ' am , , • North
Carolina, which Plat of survey was filed for registration In Map Book 2001, at page 449, Ha e, • • my st , ,
which description is incorporated herein by reference.
The above described tract is described as the 1st tract In Deed dated May 7, 2001, from William , •
Robert L. Butler and wife, Melody I. Batter, tiled in Harnett County Registry at 2:08:36 p.m. on May , 1
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