TRADES VI /LV /LV1V Ll. Yp J1 VpJp IppV FiVF.: IGryI.1 rHUG us
Appleationt /e 03 1s - 7
Harnett Cout*y Central Pew
PO Box 65 Wingtort, NC 27546
Telephone Number 910 493 -' 5 Fax 9iOM93:2793
www.t
Certification Work Per r d: By .2,,
Owner (s) of 5L:fure: Y � J�"l'Gc- frn phane: p 3 r Kr
Owner (s) Matting Address: 5b t✓ $ 1 vi a Ct^ .. .5 ,Q.i1 J ...9cc. to /7 c' . .
Land Owner Name (s): Phone: .
Construction or site Address:
P{N or Parcel • Job Cost Description of Work to be doneat,5 p 7 0 ; n #icy s -If, f'
✓ / t
Mechanical: New Unit With Ductwork _ New tint Without Ductwork _ Gas Piping X_
Electrical: 200 Amp <200 Arnp Service Change Service Reconnect T Other
Plumbing: Water/Sewer Tap of Baths Water Heater
_ / C . 1 1 ! Ll. t '1.' I • Li rim " • .` C J' � .
4 -; D. 4 �•,_
Subdivision: Lot #:
1 (f Ate l ,( . / fin , 1 7 have provided or will provide the C 5 �< n o, labor
(ttondadas'Nam r ade f
on this structure. I am the building owner or hold a NC state t2 9/9/ license
(Trade)
number which entitles me to perform such work on the above structure legally. All
work shah comply with the State Building Code and all other applicable State and local laws,
ordinances and regulations.
Structure owner(s) signature: 44 Date:
Company Name; .CrJL *14JADI /rd �7 6 4 s 1s n i Phone : ge (5 . - - 74cc
Address:4 d i or, A • / /It ,.. /
County: :flb Ac sU Contractor's License tk I . (
Contractor's Signature:. / pew. S 2 /t'
'Company name, agess(& phone must information on license.
12/06
Online Register Page 1 of 2
2. .7 ! {�Si . Mt: 11811 b eI1 I Si' k 4 S 1 p f
i � l • 4N^ 4 Ml p t `i k1 ;•Fhirh �' } i4b I . 4 .
.I, 541 i Et a b .i yy�� - ( 1 � 1 rti 0 �y(, > `+.{: C ��(� - . ; - ,`c {�pC� � 1.p 1 C S ( ,j
; p j { 't'
e iii i�� ;Fitt i t t{7 l ct
p ''; 1: ' � T� ' a, h p i � :az-i � ({? i '
ie -u . . & izza ti- ukt bi� t
Licensee Details
, 8
d
). 4 rt License No: 24191
Ii License Expires On: 12/31/2010
s ilt; ' Class(es): FP
suo
Business: Jerry Lee Whorley
With Carolina 3026 Chason Rd
State Board of Examiners PARKTON, NC 28371
or Plumbing, Heating and Phone: (910) 858 -7600
Fire Sprinkler contractors
Fax: (910) 858-7600
A Home By: Whorley, Jerry Lee (FP)
Lookup another:
License number:
Go
License Class:
i J
County Name
[
Business name:
Go
Personal name
(first, last):
Go
City:
Go
NC
http: / /www.nclicensing.org /_asp /OnlineReg2.asp 8/3/2010
GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1
S
In . �. r >.( c vti t ' 111 'l. ■ �, i " i t , I nt
lat is?
° Q. - "4 PI I . � ""� " + + rglid b it i 1 4( ry i II I t i i � ` ,",( .�c�eI
�' "`� '1► a � > ° 1�t� i �l ��"I , �d �� ,> � � 11 ���Ii�1� ( �f;u , K
° f ] U
({ Search
a 'v 1 . y II 1(f @ U 9
t � e F �ti 1 , � ,;." , in ; y It iowAIISelections i ' e i ; + - l it � il'� "1� ions
Clearil'
. - "`t t�h 11 E.... - ..�. Feature t
�p i i 'i, '�i i, $ I N(f i1 113 TWA q[nfO1711. Lion Ii "{
r, - I . i Cyr?' ' t t • . fi I 6l1 ^ ]: !1 'HAMILTON NORMAN u
1 � 4." 3A,' e1' ..4 fi"
, ' aa f ' 1 1 ` I D R'I i
a� �- 4BT t [ ' i PS,- �} dd t AID Irtm
"1
�, �,G1 � Ek tt !if, I�Il t'; f i � 'Y " r D $IIfl'7L��POBOX 35572 {�(
tt i � � -.2.i:„1-1.‘,.. a III n td (�tl y GI .,� �" �FAYETTEVILLE r,
p i� ( : E D air at'IM1NC
r �`- i � 9 1 `t{ I tti€ . ZI w X263030000 � Pa
,r � g ,:,;;;;vi ff} 1 f t� " �, rdel Info tics
g 1 ' , , !• ,i f i l ; �€� �. s1 .0 " r�" 4 1 11 1 , ! I ,, ' I� 4. Ng 4514670696.000 �. }s
_'1°''''-'77.. x lt.4 f �, { ' � 1 t % l f( # P RCECSI4 410535004013,_,__
r I. � to ''I[ ✓E � 4 vi q - '. ,, 4 oi0040427
a3 t
" r
a
i 1R( „] i� ` �I k Afa `" ��.' Ni i t _ U A ,' � MARVIN DR 005068 X
r y= 1' �' n T t � G , 1 ' LOT #13 OVERHILLS
I -1.11
M1 " �5, ' ' * - °:1:4413. n r 444 , r . CREEK
[� E . "�"�S (r - t,,, � j�w�,,,y 4"n� � G a'�(♦ #3 F1276 -A n,. s n C' t , r I@ +i N IIUN
1 r ,� �i R �, I li } P 1 t ' P' ` 1 91 3aAC
' , � ,v 1 '� �� 033234814
„r� & r�i s 1._,i7'...-77
n ,f
[.• • - : l9'chit;
eala000 ,t } *^ : rt a " ! t
{ ' 4 } { 1 t , IQ§1 , 4BF Ir 5 $�I I i .It, , .' te ,o . .....r:atu es.
4'
El
r ! 1 c1.4.. �n } e4S `a +.�, _ � . �" r lt� t11u1 P �`ItB Information
X�. i
.
1 1 "r
.kv
1147.14 s'
• [PIN] [PM] [ House _Numb]l[Pre_direct]l[Street_nam] IStreet_ryp]l[Suf_Direct]�[Ciry] I[
Full_S5
130630 !MARVIN
1 0630-65 _0 - 029 16139.000'0029 16.0 FERGUSON DR LILLINGTONFERGUS
57 D
130630 MARVIN
MARVIN
2 8630 -65 0029 21.0 FERG DR LILLINGTON FERGUS
b 000 1 , - • u A t i__
, . w +.-e" ,ii, R .' " '...at. t ., I mbn t.a.(.a r. ,s. a ¢rt«»._.._. sE.1 1Lfiu�ai4lGit ,1„ .,u3.[c �.. .,nr c,_v,im
http: / /gistools.harnett .org/Freeance /Client/PublicAccess 1 /index. html ?appconfig= public 1 8/3/2010