TRADES Applicat #
pan ve too .n sut H arne t t County Cent Central Permitting
whomever contractor. work. dd Must company nu PO Box a s Olun9t
Address, ' F ax 91° -a93'E www- hamsn.oraipermiis
x flO& licensed tl mu inr•
arse � Phone mvsi mMOW.' intom• on 910-893
lIcense' - t Bu Idi and Trades rn
I G t s t � o
e ` t
Ph one: Gil l X r t 3 .,: 0
Site Ad Name: Date: (Ai o N /NL ZJ0
Site Addrots: , _ -f
Directions to lob site from Li ! ' a ', ` 4
1
r LOt
c.... r y� .d
Description of Proposed Work:
Heated SF _______ one SF r
on recto inio n it n Building Cost __ —
Teiepttone
is Company Name � 1*
Building Co license #
Address eign a till out second page
of Corporation
MI t • Metes Elec _cost $_______3 A m ri tesr
Signature of pwnarlContractadOtfcer(s) : NICO Size. ,1Q- --
Description i Wo f
f in .
Telephone �' _ U
Contract s Com 4any Name � � 1
Electrical r License #
Addrir Li/
orporation l O Meth Cost $
- ' T. -cure of 4, !arcs tN I t or m Un<ts
3 -u
Description of Work Telephone
tvlechamcel Contractor's Company Names
License 4
es*
r C�
3 li J
ure oration plumb Cost 8..---_
Description 01ti0f (s) of Corp - P 't 1 i � �# Baths��
Description of W Telephone
Plumbing
Contrac G0 P Y g 118 t icense it
Address
car s) of Corp °rau 1 s u a 'on er n , 9119
Signature of Om l Telephone
( 'S Com te
•
4108
page 1 at 2
BUILDING
Z0 /Z0 3Jtid ONI 1O321IQ OW83Hl Lit299616 9I ZL 0i0Z/90/L0