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TRADES Application # /D a 0 Harnett County Central Permitting ,%714/6 c7 PO Box 65 Lillington, NC 27546 910 - 893 -7525 Fax 910 - 893 -2793 www.harnett.org/permits Certification of Work Performed By Owner /Contractor (I / ndivid - I Trade Application) Owner (s) of Structure: � wrr..L�Yf. /A.,:. • A Phone: �� � i L l % � ,i Owner (s) Mailing Address: r . / a l / .I /d//A 7/4/ . Land Owner Name (s): tromfi Phone: Construction or Site Address: CA/hi; PIN or Parcel # /�,,frrom GIS: / p / Job Cost7///�/�> Description of Work to be done ,% /A /'r ,oezi a Mechanical: New Unit With _ 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 S•ecific Directi•n to Job fr• :Ilin•ton: ` ` / / l ' /` l a /' /arraraa:wgr//r rtana c , i wsr 1 Subdivision: /' /�/ L L ot t #: I/ i/IIJ/�' L G�will p> de the -w - labor on this structure. (Contractors Name) (Trade) I am the building owner or my NC state license number is y9 /6 , 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 local laws, ordinances and regulations. Structure owner(s) signature: Date: /�! // Company Name: �/�/',, l C-4/ � , 7 Phh• e: / ✓ J J v/ /// 7# Address: 1 . 9,7 j AIY �// J .a., - / 7 o unty: Contractor's License #: as% g / ,r it ; ddress: ,41.41 fdS4 Contractor's Signature: alhearriell �% Date: — r 0 / C" *Company name, address, & phone must match information on license. 0 Individual Trade Application 1 of 1 OSt10 GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1 i c ! g " = an . e, � 3 mg' T v 7 ( t u , e , a , H t p nl �, $ �4 ti' droll, { ~$ fir/ 44.'1,4110 le " i ,I �1 ��! '-.4I A� (�(,1 , i : � -�y . 1 �,1 gia E r/ „n� p,7 ,c ti ,fit 4n :C 1 'r „ W' li fr ' x 0 1.14t ^ Search 1 � ., y � f s �t S t�w:J /] b T v F+ 9 4 r Y a. r ■ O r i { � l i'”! * a ' 91 , u ad 4 i "� l i s M1 � ., 5 y3 . 6et5 " gq.. #a t'a ` '„4t�' "i a o w All Selections { I ,p , ,c ` S 7f4 , . s++ R A 6s' ?! s i I "Is Clear o i i p th k s'4 L " r '�i� - Y t' gv i q e 3 . I � �1� t ^ i A�=" 1'.� « � w i b � � 1 "a, w 'GIs Feature i +��� I A ^� , F I' d j l' �.. "k s t a t q t .�. , tr;-a y 'F' f.,A� ,��A 11at "lion y � . � ` ! � L 1 } : 4,f ��vs ki !!''}E "'a"F' BROWN BILLY RAY & , 1 ©,-, �G ; , k i,„ -,:t; F, iy�iryt1 si A( 1. " 41 i. " , . �F', ' t . . IFE 1 '- t 1. "t V� ,s l • , f /�� aq� �" r �d !3 f'! � • �,4i , + ri'�r iY � �� 1 � � n � � (�'� BROWN BETTY HOLDER 1 i � ''*l 6. }!,5 Y c i� a zl> * r 14 +1 y s. �' }t s r . '' - +.', rA °` i *a' ) yr rp}ip ` 5 . � N k W a sEfrj nl . a & � a� "' > ' . kt "' o ) f YC. +s,' v '''- n!i! x , a'�s`'°S t�'t a7 t i M.xiS ° '' • 'ta, $1 ¢ , rl f 1p, j n • tz, MI: OAK STREET ' i '4 d i � t''It#I pi t .� ' ,4- ,.1� 7 - s � ��: t,;,10;10 LILLINGTON '!'( 8 A, 'K" " � ot . " ''4" 4 � ':', ) x M ssts�C a 11 1 T 4c -i = 5460000 m Ck. "r'a' 1 . 'A Jam( ` '', ' . " � ' rt ` y4 ` 4 P1t9, l..g F i tion t lis N ry , 44 : f i. a ^� „ r , : ' I”? ` y, ' �)"- 1, , s :�I ` d bil s y'e o - t ir ar. . m1'529 -60- 6867.000 I'r ..14't � 3 I 1 : w.E u ii li ` I' i t ,tr ci - Y,.'ri*r � � . m � @1' x N , � � n� . 130621 0006 22 V ra ,li / Win x : 1 174.1Eytto ref �; � � y0y 7 " r it -..�L 5?,11 10061707 i T x r41, Xs , I ,e � '4, t. A I r j . 7 a 1 r r i lE 9 i. ERNEST BROWN (OFF) El 5 1-t.- .`� / � - P,"1'n:' i d , ,�.,. „, y. c ' -„ r+ ` �. t �' S Il , n , { ty - ` ( . F I P ° c ^ a� ')/"`II �L , @@ti. f , "' ? , , r .1,, �� acnr ai is ± ls , ?I ! 1 G ' r. ria _ 4 q r , l " v'M 'ii I it 1 t2l It v t@ 1' Lei M "�' �zv I pi , �, ( iw � w" 6,, ap� i» .. . 7 j! C! i x ) ' 9 "�.J.t. a °.e. 1 "` �l �Z ' 4 .K i,. a C? lr, , Yi ir;r It@ Information , 1I , ti = s' x ay ti d PID PIN I LEGALIILEGAL2 PROPADDRSSIASSESSACRE DBOOI4DPAGE SALE ASSESSVAL 1 130621 0529-60- ERNEST E 0529.60- ELSIE B MP42005- I E 10006 BROWN (OFF) 11.65 02103 0567 1390005310 22 16867 000BROWN 57 RDX if 11.647 2 130621 LT#8 ERNEST I: i+ ,' ( ' '! r , AIL: 1 } e Cf ;C i ''^� - 1 '- w .� ' � r l rv.,��„ - ,, yfyl , r.W , �* e.xra�.r....�.�•dilL.i�a http: / /gistools. harnett. org / Freeance/ Client / PublicAccessl /index.html ?appconfig = public 1 7/20/2010