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TRADES Application # application Mall In application Please note if this app Hamett County Central Permitting is part of ajob in progress PO Box 65 Lillington, NC 27546 with open permits. 910 893 - 7525 Fax 910 - 893 - 2793 www. ham ett. org/perm its yes no Certification of Work Performed by Owner /Contractor (Individual Trade Application) Contractor information Wes McLeod will complete the mechanical work on the project or (Name) (Trade) structure herein described. My state license number is 29266 . All work shall comply with the State Building Code and all other applicable State & Local law, ordinances and regulations. Company Name: 72 Degrees Heating & Air Mailing Address: 2600 Jefferson Davis Hwy., Sanford, NC 27332 Street Address: Business Phone: 919 777 - 2777 Email Address: wes@cleanaimc.com `Company name, address, & phone must match information on license. Job Information Land Owner's Name: Harriet King Phone: Rjg-H49 -) Tenant /Building Owner (if different): Phone: 910- 90 7 Construction or Site Address: 100 Pine Winds Drive, Sanford, NC 27332 PIN or Parcel # from GIS: PI ° I S85-4L•1i , 3e1.cco Specific Directions to Job from Lillington: South on Main street toward East front St., Right at NC 27 W/W Old Road, follow NC 27W, Left at Buffalo lake Road, Left at Coachman Way, 2nd Left onto Pine Winds Drive. Description of work to be done: e lAQ if Did' 7,'f 3 -Fen {- 1ratl- Pk. %.9 Job Cost: 7 R06' ' pD Mechanical: New Unit With Ductwork _ New Unit Without Ductwork V Gas Piping Electrical: 200 Amp _ <200 Amp _ Service Change _ Service Reconnect _ Other Plumbing: WaterlSewer Tap _ Number of Baths _ Water Heater Permit Cost Permit Fee: $ 5O' cr° (calculated from fee schedule) Mail In Processing Fee: $3.00 per lob For Electrical Permits with Progress Energy we need the premise number provided. Total Enclosed: $ 50• Make check payable & Mail completed application form to: Hamett County Central Permitting (HCCP) PO Box 65 Lillington, NC 27546 Contractor's Signature: Date: 0 iic2ci1a0/ 0 **DO NOT SEND CASH. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED** Individual Trade Mail In Application 1 of 1 04/10 Application # Please note if this application Mall In application Harnett County Central Permitting is part ofajob in progress PO Box 65 Lillington, NC 27546 with open permits. 910 - 893 - 7525 Fax 910 - 893 - 2793 www.hamettorg/permits yes no Certification of Work Performed by Owner /Contractor (Individual Trade Application) Contractor Information Randy Morris will complete the electrical work on the project or (Name) (Trade) structure herein described. My state license number is 17007 - . All work shall comply with the State Building Code and all other applicable State & Local law, ordinances and regulations. Company Name: Randy Morris Electrical Services Mailing Address: 1824 Sheriff Watson Road, Sanford, NC 27332 Street Address: Business Phone: 919 - 8531 Email Address: *Company name, address, 8 phone must match Information on license. Job Information Land Owner's Name: Harriet King Phone: 919 - H9 4 - ht'3 Tenant/Building Owner (if different): Phone: 910 '9 ??-5 LIa7 Construction or Site Address: 100 Pine Winds Drive, Sanford, NC 27332 PIN or Parcel # from GIS: PIN 9513 5 Lila -7&31. oto Specific Directions to Job from Lillinaton: South on Main street toward East front St., Right at NC 27 WIN Old Road, follow NC 27W, Left at Buffalo lake Road, Left at Coachman Way, 2nd Left onto Pine Winds Drive. Description of work to be done: re. Vy re hen-+ pl,if L f) Job Cost: 3130.00 Mechanical: New Unit With Ductwork _ New Unit Without Ductwork _ Gas Piping Electrical: 200 Amp _ <200 Amp _ Service Change _ Service Reconnect V Other Plumbing: Water /Sewer Tap _ Number of Baths Water Heater _ Permit Cost Permit Fee: $ O° (calculated from fee schedule) Mail In Processing Fee: $3.00 per fob For Electrical Permits with Progress Energy we need the premise number provided. Total Enclosed: $ S.3• a Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP) PO Box 65 Lillington, NC 27546 Contractor's Signature: Ai Date: 0 7 /adl0ZOl0 * *DO NOT SEND CAS . INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED ** Individual Trade Mail In Application 1 of 1 04/10 GIS Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1 A ,4 ci I l l l C4'd �7 7 . , " r' 4 2:. � � H:bi �( ! 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