BUILDING Z4
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Application # Z h7 9 / SO tint
Hamett County Central Permitting 247' 1
PO Box 65 Lillington, NC 27546 z5 doh , ;;4 4 14
910 - 893 -7525 Fax 910-893-2793
www.hamett.org/permits Lei 112
Certification of Work Performed By Owner /Contractor z4, 9,
(Individual Trade Application) / r b
Owner (s) of Structure: Phone:
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Owner (s) Mailing Address:
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Land Owner Name (s): Phone:
Construction or Site Address: = , ^ ,t
PIN or Parcel # from GIS:
Job Cost: Description of Work to be done 11
Mechanical: New Unit With Ductwork _ New Unit Without Ductwork _ Gas Piping
Electrical': 200 Amp _ <200 Amp Service Change _ Service Reconnect Other
' For Progress Energy customers we need the premise number
Plumbing: Water /Sewer Tap _ Number of Baths Water Heater _ 1
Specific Directions to Job from Lillinator:
Subdivision: Lot #:
I Del) kiati t't. will provide the l l� �( u labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is .2' Y2 y - P 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 local laws, ordinances and regulations.
S ct e - ner : sign- re: a a if ate: a
Nosir
Company Name: 4» See D5k 911 . ;cPhone: 410 Y29 94.5 9
Address: 7 /2- ec. fitartkivy chg. Mr. /1C, Zt' 3D b
County: CAP *-t k.e r k� Contractor's License #: Z 2.0 5' pare
Contractor's Signature: 14.4 -1 Date:At 7((Q
*Company name, address, & phone must match Information on license.
TRADE 4/08
LOLL LOU IV V I. 1w IJOIy R U11111dll 11UIII1:14; LL J O IWV I JJUJ F1
Gary Robinson Homes, LLC.
5511 Ramsey Street, Suite 300
(910) 401 -5505
October 6, 2010
Harnett County Central Permitting
108 E. Front Street
Lillington, NC 27546
Attn: V.C. Brown
Re: Plumbing Subcontractor Changes
Gary Robinson Homes authorizes that the following plumbing permits need to be changed to Dale Haire
Plumbing:
• Gwen Oaks, Lot 14
• Gwen Oaks, Lot 20
• Gwen Oaks, Lot 23'
• Gwen Oaks, Lot 52.
• Gwen Oaks, Lot 53✓
• Gwen Oaks, Lot 54/
• Gwen Oaks, Lot 55-<
• Gwen Oaks, Lot 58"
• Kenlan Farms, Lot 32
If you have any questions regarding these changes, please contact me at (919) 441 -5656.
Thanks,
Billy Elmore
Gary Robinson Homes, LLC.