TRADE (2) Application s 10-50025008
Hamett County Central Permitting •
PO Box 65 Lillington, NC 27546
910 -893 -7525 Fax 910 - 893 -2793
www.hamett.org /permits •
. Certification of Work Performed By Owner /Contractor
(Individual Trade Application)
Owner (s) of Structure: Hazeleen Octatree Phone: 919 -552 -9759 '
Owner (s) Mailing Address: 538 Lake Pointe Drive
Fuquay Varna, NC 27526
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Land Owner Name (s): Hazeleen Octatree Phone: 919 -552 -9759
Construction or Site Address: 538 Lake Pointe Drive, Fuquay Varina, NC 27526
PIN or parcel # from GIS:
Job Cost: $200 Description of Work to be done Reconnect heat pum and electric air handler
connections
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
Specific Directions to Job from Lillington:
From Liltington, proceed north on 401 to Piney Grove Rawls Road; take a left; continue to Lake Pointe Drivej90 left;
continue to very end of road; house no. 538 Lake Pointe Drive Is straight ahead
Subdivision: Lot #:
i Cheats Electrical Service will provide the Electrical Service labor on this structure.
(Contractors Name) (Trade)
I -am the building owner or my NC state license number is 15394 -u , 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.
. Structure owner(s) signature: Date:
Company Name: cheers Eleptrical Service Phone: 919-291-9131
Address: 6226 NC 210, Smithfield, NC County: Johnston
Contractor's License #:15394J Email Address:
Contractor's Signature: ✓' % / ��� Y Date: 8/23/10
'Company name, address, & phone must match information on license.
Individual Trade Application 1 of 1 06/10