TRADES Application # /Q ‘12,001
Please note if this application Mall In application
is pan ofajob inptygrisss, Harnett County Central Permitting
with open permits. PO Box 65 Lillington, NC 27546
910- 893 -7525 Fax 910- 893 -2793
yes no www.harnett.org /permits
Certification of Work Performed by Owner /Contractor
(Individual Trade Application)
,� Contractor Information
I, //iP ,, , g// will complete the 42.41 al- 4 i r9 work on the project or
(Name) (Trade)
structure herein described_ My state license number is MS 7f . All work shall comply with the . .
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name:
Mailing Address: pQ . l �i VL�>r /�s , �. P _ Z '' 3re
Street Address: __Zalid
Business Phone: 9i0 - .T�s'- T9 �G Email Address: 3
'Company name, address, & phone must match information on license.
Job Information
Land Owners Name M 4j/yc/ APj ,m,,y„J Phone: #4 &3 7 - 5/99�i
Tenant /Building Owner(if different): / Phone:
/I
Construction or Site Address: 76 ,4p. .- •— J. ,' A S, 4' . , 2 2 5
PIN or Parcel # from GIS:
Specific. Directions to Job from Lillington:
Description of work to be done �k /nab, /� Mn
4" Js4.3 >o P /1.j . Job Cost:
Mechanical: New Unit With Ductwork New Unit WithotR Ductwork- V Gas Piping _
Electrical: 200 Amp _ <200 Amp _ Service - Change _ Service Reconnect Other
Plumbing: Water /Sewer Tap _ Number of Baths ___ Water Heater
Permit Cost
Permit Fee: $/te ` (calculated- from -fee schedule)
Mail In Processing, Fee $3 00 per application For Electrical Permits with Progress Energy
we need the premise number provided.
Total Enclosed:, $ . /0.3.
Make check payable & Mail application form to: Harnett County Central Permitting (HCCP)
PO Box 65
•
Lillington, NC 27546
Contractor's ignature:`" i ?. ` 55 0t-- Date: e- 2-/ ")
DO NOT SEND CASH. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
TRADE
4/08
Application #
Please note if this application Mail In application
is part of ajob in pro ess Harnett County Central Permitting
with open perm its, ' ' PO Box 65 Lillington, NC 27546
910 -893 -7525 Fax 910- 893 -2793
_ yes no www.harnett.org /permits
Certification of Work Performed by Owner /Contractor
(Individual Trade Application)
Contractor Information
I • ` e 4'Jr will complete the Z4t4JCA work on the project or
(Name) (Trade)
,structure herein described. My state license number is ..Z/ /o f . All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: 3477/5 wr/'Z
Mailing.Address: Po. j,3 , Ath Aft sf3'e
Street Address: /,J3 ,t) , a; LIT17 n) A-vg ,
Business Phone: Sc2,S- Email Address:
*Company name, address, & phone must match information on license.
Job Information
Land Owner's Name: POna A ,o.y I2F d i , 7 Phone: 9/0 - 7 -99%
Tenant/Building Owner(if different : Phone:
Construction or Site Address: le' in,Q�Q- ,i' t. s4c44.5 r 4. ('.. a -7T,�/
PIN or Parcel # from GIS:
Specific Directions to Job from Lillington:
Description of work be done:4 ), n ;,. 9 fl i/ e,vrt,'ct ii4/yy Job Cost: -
Mechanical: New Unit With Ductwork New Unit Without Ductwork _ Gas Piping _
Electrical: 200 Amp _ <200 Amp _ Service Change _ Service Reconnect Other
Plumbing: Water /Sewer Tap _ Number of Baths — Water Heater
Permit Cost
Permit Fee: $ (calculated from fee schedule)
Mail In Processing Fee: $3.00 per application For Electrical Permits with Progress Energy
we need the premise number provided.
Total Enclosed: $
Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP)
PO Box 65
Lillington, NC 27546
Contractor's Signature. Date: 4-7-/0
DO NEST SEND CASH. INCOMPL TE APPLICATIONS WILL NOT BE PROCESSED.
TRADE
4/08
i� J ,
FROM Town Of Coats (MON) JUN 7 2010 11:47/ST.11 ;46/No,7515832078 P 3
TOWN OF GOATS
(Extra-Territorial Jur4dkWoa or City)
APPLICATION FOR ZONING PERMIT
r'
To: TOWN PLANNER/TOWN OF COATS Permit No.
. P.O. Box 675
Coats, NC 27521 F es: � 51,2)
Phone: (910) 897 -5183
Fax: (910) 897 -2662
Da res Zoned Ass Parcel ID *: a 7 0 5 1 O 113 O
Na me (e t) "P P S //s �J4(.S,. Name 9 7? Ff tefewo)
:hop) Address is rh` r (`T • •
City, State .e _ _ • / City, State Ca st.., AI
Zip Code _ . _ _$ $3 �- Zip Cods el CA
Phoned e Phone li
Location of Property: IN -TOWN ..ETJ ETi(toatiguoue)
Present Use of Property:
Proposed Use otProperty:
'Single Family Dwelling: N Rooms :, M Bedroom: Square Feet:
Multi Family Dwelling: It of Unlb: RBodroonts (per milt): Square Feet (per nail)
!Mobile Home (single lot): single wide Double Wide:
1 Mobile Home Perk: Section 16, Zoning Ordinance mist apply
�miaese: Total fl of employees per day • Type of buaSca
Other (apeeify): Ch. r /! V ,4c - Cot t L, 43
1 Existing structure: Renovate: Addition: 1 Demolisb:
Water and Sewer Supply: Water Sewer
Private
Publk ✓
Proposed
Existing
NOTE: Attach a stns plan that Includes property lines (front, side, and rear), location of proposed slructnns
(Ineladlag d,ivaways, deck*, eta), and existing structures: This plan should be thews to scale. Also, to order to
retches PrivilegeLianr from the TownotCoss to opens badnan, you must have a valid Zoning Permit,
along with all applicable inspections from Harnett County. •
Applicant•. I certify tint si of Ibe iaWnnat(on ptaeateddn thb application 44rae, complete, and accurate to
the bet of my knowledge. False information Is groandffor rejection of tho application.
Signature: dLe �� _ Date: 1--(1)
ZONING ADMINISTRATOR USE ONLY
Notes:
Zoning Administrator: Date:
Approved: • Denied:
•
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7/26/2010
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