TRADES (2) L Application #
Please note if this application Mail In appl Lr�ion
is part of note ! in progress Hamett ounty Central Perm /0 JO D 4 5/ 7y 7 el
with open permits PO Bo 65 Lillington, NC 27546
910 -89 -7525 Fax 910 -893 -2793 ; _- ': P
n
_yes _____no .hamett.org /permits
Certification of W rk Performed by Owner /Contractor
` i o
/' (Indi 'dual Trade Application)
//
Co tractor Information .,,
!!!!!! I i = e f5 la
E ad will coml Iete the Mechanical work on the project or
(Name) (Trade)
structure herein described. My state license lumber is 29266 . All work shall comply "th the
State Building Code and all other applicable ttate & Local law, ordinances and regulations. At
Company Name: 72 Degrees Heating & Alr
Mailing Address: 2800 Jefferson Davis Hwy Sanford NC. 27332 .
Street Address: •
Business Phone: 919 -777 -2777 Email Address: westo'�.cleanaimc.com
"Company name, address, & phone must m tch information on License.
Job Inforrnatioq
Land Owner's Name: James & Mary Ann M Closkev _ Phone:919 -689 -7782
Tenant/Building Owner (if different): I Phone:
Construction or Site Address:126 Riviera Larle Sanford. NC 27332
PIN or Parcel # from GIS :9595 -07- 6498.000
Specific Directions to Job from Lillington: Sta out going SOUTH on US -1 SIDS -15 S/US -501 S toward HICKORY
HOUSE RD Continue to follow US -1 tum SLIGHT LEFT. Turn SLIGHT LEFT onto WILDLIFE RD.
Tum SLIGHT LEFT onto WILDLIFE RD. Tum RI HT onto ROCKY FORK CHURCH RD. Left onto GREENWOOD.
GREENWOOD RD becomes SWANNS STATIO RD. SWANNS STATION RD becomes BROADWAY RD. Turn
RIGHT onto NC 87 S Turn LEFT onto BUFFALO KE RD. Tum RIGHT onto COACHMAN WAY. Turn LEFT onto
CAROLINA WAY. Tum RIGHT onto CAPTAIN H R. Tum RIGHT onto RIVIERA LN.
Description of work to be done: Re lacement of heat um Job Cost: $8,000.00
Mechanical: New Unit With Ductwork _ New Unit Without Ductwork _ Gas Piping —
Electrical: 200 Amp X200 Amp Service Change Service Reconnect _ Other _
Plumbing: Water /Sewer Tap N mber of Baths , - Water Heater
Permit Cost
Permit Fee: $ 50.00 _(calculated from fee schedule)
Mail -In Processing Fee: 53.00 per application For Electrical Permits with Progress Energy
we need the premise number provided.
Total Enclosed: $ 53.00
Make check payable & Mail completed applicati form to: Harnett County Central Permitting (HCCP)
PO Box 65
// ff ��/� Lillington, NC 27546
Contractor's Signatur /��-� _ ) Date:7 /05/10
DO NOT SEND CASH. 1NCOMPL TE APPLICATIONS WILL NOT BE PROCESSED.
TRADE 4/08
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Please note if ibis appiiceton Harnett Otmty Central Permitting
brat of ajob fa progress PO Bo)c 65 Ullington, NC 27546
with open P®ia• 91' :c . 7525 Fax 910-893-2793
eyes .hamettorg /permits
Certification of • Performed by Owner /Contractor
(Ind' dual Trade Application)
• u u_,n,• Info ..1 'OJ ._
I, Randy Morris will co piste the Electrical ,viork on the project or
(Name)
(Trade)
structure herein described. My state license number is 17007-1- . All work shall comply with the - an
State Building Code and all other applicable - •- & Local law, ordinances and regulations.
Company Name: Randy Motes Electrical S- .
Mailing Address: 1824 Sheriff Watson Rod Sanford NC. 27332
Street Address:
Business Phone: 919 -771 -8531 Email Address;
'Company name, address, & phone must match IMonnetJOn on license.
Job Information
Land Owner's Name: James & May Ann MMCloskev Phone: j9.689 -7782
Tenard/Buildmg Owner (if different): Phone:
Construction or Sits Address 15 Rafter Criek Lane Sandford. NC 27332
PIN or Parcel # from GIS;9595 -07- 6498.000
SpeC fie DireetiOnS to .lob from Lillinaton :.. out going South on Us4 SA P3-501 S toward Hickory House Rd, Continue to
follow U8-1 cum slight left onto VYldlire Read. Tum ^. ht left onto Widen Rd. Tum Right onto Rodcy Fork Church RD. cum Left onto NC 87 S
Turn left ontoBuffalo Lake Road. Tum Ri onto 1.. • Rd. S cum Left t onto Carolina Way. Ty �M � right onto HBR.
Tum Right onto Were LN.
Description of wWAc to be done : Rewire heat • ump Job Cost: $300.00
Mechanics : ew n w su • em Ink WithoutDuctwork ! C3as'tping
Electrical : 200 Amp _ '200 Amp Change .r Service Reconnect — Other
Plumbing: Water/Sewer Tap ^ Number • r Baths _ Water Heater
Permit Fee: $ 50.00 _(calculated fro fee schedule)
P • t
Mal In Processing Fee: $3.00 toe aopll – on For Electrical Permits with Progress Energy
we need the premise number provided.
Total Enclosed: S 50.00 on form to: Harnett County Central Permitting (HCCP)
Make Check payable & Mail completed app PO Box 65
Lillingten, NC 27546
Contractor's Signature: . d Date: 7/05/10
DO NOT SEND . I r ' OM - LETS APPLICATIONS WILL NOT BE PROCESSED.
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TRADE
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