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TRADES a siii/ Application # /O re o 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 - (Inddividua al l / Trade Application) Owner (s) of Structure: , 0 , 7 / , c e Phone ci/e) '97 - 7 Owner (s) Mailing Address: 1 a- ' // 'IvcC d Ca1S N. C C.175-0? o / Land Owner Name (s): /� /� T / Phone: Construction or Site Address: 41 4c ,4 ,, , t ,,& PIN or Parcel # from GIS: Job Cost: 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 Ssecific Dir :ctions to Jo• fr•m Lillin•to • f / � L� ; // . . L o 7 S put on e .e1.`// .one J ie 67// / /.6 to /, i/! ion. -7k of voce - Subdivision: Lot #: will provide the labor on this structure. (Contractors Name) (Trade) I am the building owner or my NC state license number is , whichlentitles 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. 77 Structure owner(s) signature: e Date: Company Name: Phone: Address: County: Contractors License #: Email Address: Contractor's Signature: Date: *Company address, & phone must match information on license. P Y name � P Individual Trade Application 1 of 1 06/10 GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1 I y un�a ' r4� d G Fyn �I�I rl � ��w [6( u q 5 r d' L Ell �% t ( ''''''1 ' �,. 5, �U( I ` T .- t (�w ,' "I'i:(j�jj((1!I�u � Oi(II( t l ion J „( . ek a Y�G t 2I !jinn) ”. . 1 I l ip ���a l Search ( , mot * ] ] rw All Selections q jai ti'''' ' li 1f�*�2 r r '"°" t Y } h '' ' a i n "� s lens Clear •r v9 I ' � � ' el .. . t is Feature :.1 i , if�j t« a i 1 � ((' VR,, t r a .�NORRIS BOBBY JOE & 1 u 4 Oi ti i ' f , '� �� ( � � , 5„ s .". �. q J : Dili IC �NORR & " 4� _or IS PEGGY C ► . , �"( ,A . i �}� " oc,: (f ' i 7k14 i t t • th1. '. ►I SFr {�; q , �a f . ], 1 ' ati ii( ` s - I j ,: rU, " • -�122�BIL L AVERY RDE u 0� e 3", ny�u'" a ?s`t + Ii t is OATS �- 1 -p ONC 210000 " F � = '' « id s ��(` I W ° €9S € �. . ' s . - 4 omeao- na i i a d' [ I _ :4111111 7 i 1 � '..:71 77 �� 1 (i Y y �4, 4 ' t ' If. is '� it r „ ,ion ` ! P t x690 -06- 7889.000 0 a � i.� { . ” fi n 9 Fl g i 1 ID ] im.• 070660012301 tiji ,, i F+ `r h 5 � ' ""` r Pw •• l l� '" ( BILL 3 1 ( sre i t ::7; it -I [Tp' i : 16, © BILL A VERY OFF RD 4 1% + ` ' r i 7q 5 i «' „g j[ k c d ' r 1 " , " ° s . AR #B BOBBY JOE '1.4 - ° 2f ( F i �6�,lit, e'* � _ #� , 7aI� I ts tIk �NORRIS ,s n' :- r '" � .. 9" r a . L,. � •P#2009 -191 1 r k , Ii 3 t S k a A v �U ` TS " n 41 h; s J s ' �n k '' " ■ El 1 20 AC 4 o eauao-siaoew 'pi c! �� 1 ,,116 , yy7,' I W tg f � #. J ( �I(. i 3 ' ( [..-- i p 'd . "�°" s on �" ® i 4Kin't ,, :ii ,,,,.4 �� 1 .. ' .\ u , l D.,' ��, y ....•.;14,4•;:, � l� "� �(u �.. i1u(. s ! a.v: 1 `( yy . '. 1'1W fn. 'z•�k� ,. i i1i "M L e .} l W if "i "C. Informa : I f G r ; f « �� -- 1 ^ p [PIN] (P101 [ House _Numb][Pre_direct]f[Street_nam]I [Street_ typ SPR 7�[SUf_Direct]�[Clty] 1[FUII_Str • 0514 -5& 1 010535 ING B J 7 36.0 B J PALMER DR„ PAL ..1, --Q-4--,586:0.000,01,23,70:,,,,,,,, �' P -ID ( -.[P -re d irect] -I[ Street_ nam i_[Street_typ]_�[Suf_Direct]. [Clt �IFR' 008 1 52 0 I B 55 NORRI ! ' LN COATS L D N O I igrir , wx�I -`'��w ,.w. ..u.. '.i3,i �IIn.�,. .,ua > r� ''lli i t e i . http: / /gistools.harnett.org /Freeance /Client/PublicAcc 1 /index.h ?appconfig= public 1 8/31/2010