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TRADE Application # /0 et-1D 0 Harnett County Central Permitting ej?arll, 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: C' Hers /maxi.) Phone: ,/c) 43 6 - Zo 3 3 t " Owner (s) Mailing Address: 74 SHREW /N0 OR 5 f 4 / - Lives, q/ -C , Z8 3 9 U Land Owner Name (s): Phone: Construction or Site Address: PIN or Parcel # from GIS: Job Cost: Description of Work to be done Mechanical: New Unit With Ductwork New Unit Without Ductwork X 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: Subdivision: Lot #: I iQ Nkto 77im P5'a NI will provide the i labor on this structure. (Contractors Name) (Trade) I am the building owner or my NC state license number is , 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: C/u?OUNA e.oieng7 CONTROLS Phone: 9 /0 4 {Pg- 0676 Address: 162-2 114AI Ru su 0 9.* County: Cormeciete,r4 Contractor's License #: 2 ! 2 5 . 5O Email Address: CrzrOl)navei flea yahoo. Contractor's Signature: /C.d Date: ,$O ft .t *Company name, address, & phone must match information on license. Individual Trade Application ; 1 of 1 03/10 .4...; GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1 l "R p ry 3 � p : p� � � { ;` x 7 P ■1 hri I n 1Q ,l j11,1 -1tf i A 6 m q \ k riI i „: ,, i it, i 9 t i I R t p , ti �� I JiI1I1 '� . j i t I � E, A " •" i i [ WIa!! lC ,! Nil:,t , I,i ' E� .tta� (yam I � ,a,vi, ",� ,n5 £ xSr",.....-X.4.11.44., k "s &'-4'': Search lT_ „ » i t ;y 1.w All Selections f _fir l 5 q ?r' '�4 , ' � ` ^^ I, ^r �a 0 '�9 Sel ,....: Feature I 4 r";11' � } }_ �j .; 0400"44-...;, 9 rsn flo . he . nfoirn! lion I, 1:4}:' ti Clear r � "t. ♦lz 1211 t 44 � a x r ).P1111114)-1 q . i . >r �ELL WILLIAM & e tt'i$4 , %1 1 I I I i : Fp ( I , �" 7i� ' -2'`+": DD '" �� ELLISDEBORAHK& � t � � ✓ t, C-J "1iq N � , s,. r ;.i i a :: . ; -. T ik: ADD : , I j t i t t 3 , ° 3Y, Y li� % ADD 3 r : 573 DARROCH RD .kiiitiim 11 }e f f, ` 45851 a 7 s ` 3 ' i t i v .. E J g ` �� ? x ' . tt�d CITr �LILLING +t { TON I , i4 h .4 - S; I „ � .Y � 11 C it :�� t ° t i n h fi .. , # 1 `I ` STATE#iix .NC j t I � ' �,� s r e pt wiz t »I� . g , 2:1 I#i lf e , -" w° ® 275460000 i1 "a /1 4 , ' rill 1.45732a '°I" 6 +: �"s - .Pai`c eI:Info `T' ion it - 4 b t , 1, r IE 0 PIN m01105 6 002 05 P u �� !i r if 1 , ' ;` R * '� PE > ell ®� 010538 0028 05 0 ,. . 1 �+ r y � ��, � ii c 1 4 ` ' a r M � `r � 7 i �-i, ' R EID 0 a m0046046 � r "r"I ", "`t, � r'J # . ,, st �t i . De"1��', ©DARROCH RD 004573X � y d p 1 a 1 r a' ii' * � i '� �. � '. j . � � � � 1 , � Y +, u �' t . rw o- + ' ,�t L EGAL�1 y i; , . LT #1 LITTLE RIVER 1 t- r y r d :I re C . PLNTION _ al T' a , ' " } ■ ‹C;.. . C1 f A .- f -- LEA •PH #1 P#F1576C i us t � : 1 $ ' 1 ' � 11. ' 11 . • e I ! . .CAP . 7 UNITS 97AC _._.— _ i . W '�5 # I� C AL AC S �� 9283539 tt.' s r r a + ¢'+ . k y * I I Y ' • x t 'Q ` Yl " t' € ; 1 " r S2les„ln( ¢ Y' ' I" f i it r u "lei �� w � § }} �' . �. , • � ,10 � ' ' ' 0i ,. , ,� ® € ,1 t , i z : t s4 M1'f r 4 r �'^' & { 1 ;± r' R ., : it e Information i,x:.� t+;( • P ..'ct : .z a "- ` `. r -' � •, Ha � �' 1 ,- n ite Informatuon • i rat. <ca �'h t 1 "•'.1 �,. :�a -lei . • d PID IPIN ILEGALI I LEGAL2 IPROPADDRSS1ASSESSACR DBOOI DPAGF,SALE I 01053506 0100 ( 0506- 70- ANDRSN .MAP#2001 (BARONS RUN 1 26 0240.oao :c CLUB :619 W 000036 X 1 02047 0290 280000 a PID IPIN rLEGAL1 T L EGAL2 1 PROPADDRSSI ESSACREIDBOOKIDPAGEISALE l ' uaiiW,., � ,G(, �J;�..La 11�;�......i)i�i , I��'lt, inxx fil �iL.rflinikdiii.L y a?::wuciux� W http: // gistools. hamett. org /Freeance /Client/PublicAccess 1 /index.html ?appconfig=public 1 8/30/2010