TRADE �/ O CI I I Application # /0 o :1 3 /o3
h ,11 Harnett County Central Permittin
1 PO Box 65 Lillington, NC 27546
v 910- 893 -7525 Fax 910 -893 -2793
www.harnett.org/permits
ertification of Work Performed By Owner /Contractor
(Individual Trade Application)
Owner (s) of Structure: C SL ICE, Phone: 9/7 5e99 -6%42.
Owner (s) Mailing Address: a-earea /11 » ova CT 3 tniA . A/, C -
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 Lillinaton:
Subdivision: Lot #:
1 ,irgcD 7�/dw will provide the ✓/f C. labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is 2755o , 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:G►Rairna re ,-,car rRaLf Phone: 'WO 4 n 6 7(
Address: /I 22 UA4.r /3 4.a-4 Ave GAy -ntw rtu- � the -
Co unty: Contractor's License #: 2 255
Contractor's Signature: a Date: 3e ,Bali /0
*Company name, address, & phone must match information on license.
TRADE 4/08
I .
GIS Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1
+ n RT i . iii Y 1 111 CI II Eli {;ut 1 Si3 ..b..id .. . (1 1, . 1 . i;WI RI f7j�)i IV �, -�' u
/ i r a U+4 i .r � , x. � 1 .1., 4 tlt gg , � - n i + � ' 1�d�5 I??n (11��
u r s + 1 _ m+ + 7 P(10} ".:
x T�9 .� �, d i I 1 d b ' ! ll x r++ t . it " + � • wAIlSe le c tions
'LT. 6;1/47:"'"?' n!+u�lilM�A - i II iiI� M C i ;q, l.nS Clear(
' � '1- ii a y '' ' G A ,. i y ' � i i ! Is Feature
{ ,-
1� (� a f a d O r lnfo � tion I
+ }; 1 ,u { *till, I ji , , e ^-;v� �� '4- NA ' �SLIGER CLARENCE J JR & ,
i + p ? , e. E ' DI 1 ]<... SLIGER DARCEY L &
x c � Im �l � , � !■
4 S ADS if dta4■
�� + k �° r j ', ,y p v,i. ` 'I , - t' r, o , t ' , o i e • AD' •115 DOVER COURT EAST
11 .P r I j , G � - 1 }' i • ` '' , A ll r tr''r', I ^' CI • 'NFORD
7(� 1 .: ,� �fi ( " 1 + �r r .,q , I ZIP Q an 79320000 , 1
, + - i i i39:;"' •
,,111$141',, - ' or I to " p ion I ;
G_ <I . it G r i c ; " �y E * }! �!I PIN ® 9596 -09- 8433.000 I_.3
1114) 11 11F { till" M { Z {�, • ' � i if I1 t . R T A DD i DOVER EAST CT 000115 X ;..
lr e 9
'� �� �, �' +� I I '` + REIN f l l i � � 6.0.0359:3887
X059380 _
,- L1 1,i1i�� , . i a Ji , + � ',Mt I � {( #115 HIGHLAND
. .i,.,; 0 4 , '
3 1 ''�
1 »` t FOREST .4
w W + > . LE �� " '��MAP #2003 -1165
G !4 . 4 �-@� , F. a'L I «ia1 'I ` 7iY s[l �1.00LT 1
g i t
�' ilk 4%;!:.1.4. '` t 1 ! I y - i CA ti�� 1 37928692 N •
(�i MI d I � 4 "+ lAl " ' LT* �i' { ) ` + 8 tint . SIOn i .
k'��(M� a,. (+ 4:4'1 t o- ' -.I1N1. i�,... 1 IT i '3 ! -t!, `
® - 1' Y { 5 , I 1 F F "m �� 11 _ L4.„ µ41W ,. Inform t �. �u1i14... -.. ..,a � •
F
, - _�� - 2 1 'r + $ , 4 1i� " .P a 'l -: -- o m h d +i it t lte lnforrnation
d PID J PIN I # LEGALI IL�.2 9i411ff
0395871 L9596 - MAP #2003 -DOVER EAST
002056 18433.000 ;1165 + CT 000115X 1 02535 ; 0367 170000
FOREST .40t -- - -- .. - - J
Zoom To Result Set
"sikt'.`...k a , w;. .'0 ' lui!!' Gi} wi �it'.11, ^ -' n u . .:.,:. -E`:T`y" f7 i14''� yam i ' iU, ... ... i IT
8/30/2010
http:// gistools. hamett. org/Freeance /Client/PublicAccess 1 /index.html ?appconfig�ublic I
•