TRADES Application # ---�
C entral Permitting _ /T
• Each section below to he filled our by Harnett County � KC 27546 C / -� <'�
whomever contn min4 w Must be pr owner PO Box 65 tillingt
Merest come harnettorg/permr{s
or iicansed traotor. ntr � � 9t 0.693 -7525 Fax 91 833 27
name s pnuI K moot marci,
{4cene6. d
uitdin andTrad P nnl
o B D � i �
Date: Of
Owner's Name: 10 6 ; � r ,r one:C ) i D
Site
Direct ns t S: : . S, 4. f n 5. �' /Llr p
Hem a, c A
pireCti ns tc job site from Ullington: a o k �m e L` <
lt^� u I L _
V' b M o e ...,. L At:.J- ---- -- _ 4
Su 0 6 0-C u`
Description of Proposed Work
Heated SF t22,,t Unheated Co t ray r I nfer s ion_ Building Cost $—.--
Telephone
r s Company Name
Building Carltracto Lce——
Address Must sign & fill nut second page
of Corporation
i Infor Elec Cost$ #TPoles��
Signature of OwrlerlContra� or/Ofticer(s) M @rv l� sic:
„ _ , v C' Cif 3 Z s P
Description of Work _ —� r Telephone
�,,v4� _ ante TL ZZe J
Electrical Cotttr' "' �r s Company 0,', ii License # •
al
Addres/
Signature of Officer(s) of Corporatio .f
h i w l PBrmlt Information Mgt' Cost $ # Uni
1 (.P Descri of W u - — Telephone
IN+
Mechanical Contractor'- —4. 0 Na me r ,J I .ioense #
4Thiri
• ..4r~ loer(s) of Corporation it Information Plumb Coat $__----- •
Signature of Ott Plumbin P rm f Baths _ --^`
Description of Work Telephone plumbin9
Contractor s Co mpany Natne -- p
Address
In u tion a "t to allo
�,��� s auto
Signature of Offtcer() Telephone
Insulation
Contractor s ComPa^Y N ame & Address
4108
Page 1 of 2
BUILDING •
I0 /I0 39tid ONI 10321IQ OW631I1 LTTTL996I6 I5:II 0T0Z /0E/80