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TRADES Application it/ - y Harnett County Central Permitting PO Box 65 Lillington, NC 27546 910 - 893 -7525 Fax 910 - 893 -2793 www.harnett.org/permits Certification of Work Performed By Owner/Contractor ���� (Individual Trade Application) Owner (s) of Structure: ,� ■ Owner (s) Mailing Address: V ) Od 7 Land Owner Name (s): Phone: Construction or Site Address: PIN or Parcel # from GIS: Job Cost :,76J ' Description of Work to be done 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 S.ecific Dir= tions t•_ Job from Lill .ton: :L. / AC- 04/ .. tA.. e Subdivision: Lot #: 1.4 ,L4G� will provide the labor on this structure. (Contractors Name) (Trade) I am the building owner or my NC state license number is -97/0 (/ , 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:i � r —/�� Phone: J / 7 - 617 Address: // Q County: Contractor's License #: .i� /a -410. it ddress: Contractor's Signature: i /'i Date:O - (/ ,2-6/0 — *Company name, address, & phone must match information on license. Individual Trade Application 1 of 1 06/10 GIS Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1 , sue � p :;,fltw Jt j a�NN t � Ie = , g s a {�il� . I I �r tt t1 1 Ii, • kh . A# I k X i 41 PIN' u a - "A ' I nI �. r . a s .. IBS 1 � �' 4 I�It4hi �6) ill 0 ) i . ; � Search � , y � h �� `T� l� In I 1 ' l•w All Selections �i � L ns eik Clearl It + � i;"' rr, s ,-. rye k " + ., .. ,.,.... ! is Feature '.s{ u n h a „ ' - - , r r -. yd l :'q' q Owns [ form tuon f li,'£_ t �� nW, j #, s i � N A ,S LAUGHTER LINWOOD 8 p d grill Y 4k a r - a e 41 „ ' f r : FE it .i ry � d 1 ,f r i v > ` b fie ti , '' l IEN SLAUGHTER MARY C 8 �' IMP t l a P a ; 7M'. l F' g a ` �t a nI s "A Me'l. r083 BAILEY ROAD �I+ 8, � t . 2 r y t i p , �t C � i 9 d iin T A71' E � N OATS I f , p1 _ g "d a `:' '� r � y. , t 1. 11i ' -pI 4'. - DU 75210000 ' 1'' � "' ` *. t : t '4! i00 . d a” " _ ' ' .ii i" ion liicl roi ; t, tt/` % /t)/ Yj .1610 -46- 1825.000 { Fli Ito , r a '„ 2 083 ' y PA � , ' � ^ a • r 71610 0034 y ' + s tom. Lie)," a? C �-1' 1r' '030155 , `C ,, ( l 'f` > i• I � l cl �p ' © BA I L EY RD 002083 X vs z 9 l r ,�, r. LEA �^ U1 ACRE 1561 NC SR i v�""rl 1 gy '' .: °Er ,, .. la et >k � Y I 1 i . „,,,...,...1:1,4,, . 1 I & ' l ' 4 `1411 N7 �1.00AC f Y 4 r • ' SM . . ; • s ”" 4 i ,. ai o " ' 1. 87070682 r • . ' i 6, a rw y ( �''. ii �u Io 11 =t q e : -e A' 1fa ,4.; s i t 4 {i l�l�lit l ti , ® o- ild"�' �@ t t 'N' P px 1$& { ,titc : it ' Info 4 I i (taa�=v,'U i. .! „ .� °t � 4 Y�n a ,a. u4P 'i �t . t JJ'k` ... .. �, � { � , e 9 i °4��' : Ite Information • , 0 PID IPIN LEGALI LEGA L2 LPROPADDRSSIASSESSACRF�DBOOK DPAGE.ISALE ASSEt 10057 Q ILT #71.90AC (TITAN 85 7 06 M #99 338 ROBERTS JAMES 10019 166 01376 0762 12000 101940 13 2369 OOOMCLAMB N CAL C z 050623j0622 19.15 ACRES S G {q18 SR 2021 RD NC Si X 5 00691 '0022 0 1500 t t i' _.T ias3u �Et - ." • y+ ll ;li}U' �n.a'•' t a ai4�S a s a .. '7 http: // gistools. hamett. org /Freeance /Client/PublicAccess 1 /index.html ?appconfig= public 1 8/24/2010