TRADE L.. -,
Application# 1/ 6 ,7.G 2 79 r
t � A .
s
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
910 - 893 -7525 Fax 910 - 893 -2793 r.; w
wvvw.hamett.org/permits
Certification of Work Performed By Owner /Contractor - ; ,
(Individual Trade Application) A
A
,"r�
u
Owner (s) of Structure: $hoklCJ4S.r COfSfrcd-'rcw � .n . Pho WO- 136 y -Qz
,
Owner (s) Mailing Address: S5 0 Co SY4d /r ;k E. ? it
Fa ynfilec% / /t° Al C )5303
Land Owner Name (s): Phone: }
Construction or Site Address: Lo+ HISS/- - 39 Wes } ociPr- Cv xr4 5a &c c( a .27332 ;',
PIN or Parcel # from GIS: `` :.
Job Cost: Description of Work to be done ,/
J
Mechanical: New Unit With Ductwork _ New Unit Without Ductwork _ Gas Piping _ )
Electrical': 200 Amp _ <200 Amp _ Service Change _ Service Reconnect _ Other _ I
For Progress Energy customers we need the premise number
Plumbing: Water /Sewer Tap _ Number of Baths Water Heater ')
,;
Specific Directions to Job from Lillinaton:
Subdivision: r a 'D I i tnq /_.q to S Lot #: cl Sse
,, G. /�
15hoWC4se Cons{rkcJ'will provide the /5ci /Ci (// labor on this structure.
(Contractors Name) (T e)
I am the building owner or my NC state license number is Y/ea 3 , 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 cal laws, ordinances and regulations.
i
Structure owner(s) signature: - Date: 08 - /7 - / 0
t
Company Name: ShoLOCgsr ConsteircJ:.0 Co Phone: We ea Y. azv 7
Address: SS66 4lGdk ,6< rare thu ;lr( /VC -1930 3
County: (,ua,berlanai — Contractor's License #: Y/88 -.
1 Contractor's Signature: Date: 03 -/ 7-/0
'Company name, address, & phone must match Information on license. 4
TRADE 4/08 j
2
Plan Box Number w Job Name
Date: 1 7 - 77 - ( 6
Required Inspections for S FA, ,S FD
Appl. # ) s- c 2 c-(5 6
Valuation S Z /8
Sq. Feet 2da
Sequence
10 _ R* Bldg. Footing
10 -30 R* Elec. Temp Service Pole
20 R* Building Foundation
20 Address Confirmation
30 -999 Open Floor
30 -999 ,i R* Bldg. Slab Insp. -1
30 -999 R* Elec. Under Slab
30 -999 R *Plumb. Under Slab
40 Four Trade Rough In
40 Four Trade Rough In> 2500
40 e ir Three Trade Rough In
40 Three Trade Rough In> 2500
40 Two Trade Rough In
40 Two Trade Rough In> 2500
40 ✓ One Trade Rough In
40 One Trade Rough In > 2500
50 R* Insulation
60 Four Trade Final
60 Four Trade Final > 2500
60 Chree Trade Final
60 Ihree Trade Final > 2500
60 Two Trade Final
60 Cwo Trade Final > 2500
60 ✓ One Trade Final
60 One Trade Final > 2500
999 i:nvir. Operations Permit