TRADES Aug. 1i. /UN tl:i /AM /1 Degree heating /AG No. Ill/ r, I ,s-
Application #49 pa 00
Mail In aoo catio
Plane note if this application Harnett County Central Permitting
w e
with open a job is pmgress PO Box 65 Lilfington, NC 27546
w v permits. 910- 893 -7525 Fax 910 -893 -2793
Yes _____110 www.hamett.org/permits
Certification of Work Performed by Owner /Contractor
(Individual Trade Application) -
Contractor Information •
•
e { i r - T3(a nMIlpcd will complete the MU Sakti 44.1 work on the projector
(Name) (Trade)
structure herdin described. My state license number is 2ci a (p @ . All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: . i s M�a1. nc 4-4-tR Condi 4-0 „Ifn
Mailing Address: o�bO 1 .Son. +.to
Street Address:
Business Phone: c 01 — Xi7'l Email Address: lA P ds2A f rA4.cO
'Company name, address, & phone must match information on license.
Job Information
Land Owner's Name: 4rnn1 f f ,M►MQ Phone: gig ' k`temsri
Tenant/Building Owner(if different): Phone:
Construction or Site Address; «5 IOC ciZ) (.t 1 S,u$rr4 � I. L 2733(
PIN or Parcel # from GIS: f IN 95 - L1 ia•t7D
Specific Directions to Job from Lillington:
i n S{. *D us q..1.4 PQ ond. S&
Kt I. o.A- pr fa en Lt ah ow Dld 12,4
Description of work to be done: Cilfkrta( t 8/44 N +an. 1-1 Job Cost: 41384 ')
Mechanical: New Unit With Ductwork ` New Unit Without Ductwork Piping T
Electrical: 200 Amp _ <200 Amp Service Change _ Service Reconnect Other
Plumbing: Water /Sewer Tap of Baths Water Heater
Permit Cost
Permit Fee: $ ,SO (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: $ 53• b
Make check payable & Mail oompleted application form to: Hamett County Central Permitting (HCCP)
POBox65
. L i fington, NC 27546
Contractor's Signaturaler% Date: V/V/
DO NOT SEND CASH. INCOMPLETE APPLICATIONS WILL NOT BR ESSED.
TRADE 4/08
Aug. 1/. IUIU S:3 /AM 11 Ueg ree Heating /AG No. 1 /1 / P. 1
Application #
Mail in application
Please nate if this application Harnett County Central Permitting
is part of a job is progress PO B 85 Langton, NC 27546
w open per. 910- 893 -7525 Fax 910- 893 -2793
yes ___..n0 www.hamett.org/permits , •
Certification of Work Performed by Owner /Contractor
(Individual Trade Application) - • • ,
Contractor Information . •
I, e arvial M.or ti'3 will complete the e l t 011-4 u ( work on the projector
(Name) (Trade)
structure harem described. My state license number is 1 1CO7 -L . All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: ROM.1 t.h tt i S EA eck LoA So t o t C*
Mailing Address: I 41d4 Sher;- SiaI-son !Road
Street Address: Sa a c O.SQ G
Business Phone: %fi /77 -9,55) Email Address: WtS I'.t,aanai
*Company name, address, & phone must match information on license.
(�� Job information
Land Owner's Name: Antlii. P;S ittr Phone: 9 Iq-tj99•4j y
TenantBuilding Owner(if different): Phone:
Construction or Site Address: I L I S D 1J C a7 toe s-1, S an cord, Al C d7 3 -i
PIN or Parcel # from GIS: PlV QSen -?I- 101
•
c iffc Dire ions to ,1 m Uffin on:
3 t.444, O *t, s i. S . #nu cAa E nL d4.
' &..1- & N Pe u. l i�.>l l OSA .
Description of work to be done:. - B t7 Co n ne.01 5r r v Fee Job Cost: ,300'
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: $ ,SD' _ (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: $ 50 D
D
Make check payable & Mali completed application form to: Harnett County Central Permitting (HCCP)
PO Box 65
Lllington, NO 27546 p�
contractors Signature: #
�/ Date: O C A C V 0
DO NOT SEND CA . I ,' • MPLETEAPPLICATIONS WILL NOT SE PROCESSED,
TRADE
4/08