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TRADES Aug. 3p, 201 0. 9:12AM 72 Degree Heating /AC No. 1900 P. 2 Application # Mail In application Please note if this application Harnett County Central Permitting is part of a job is prowess PO Box 65 Lillington, NC 27546 with open punks' 910 - 893 -7525 Fax 910- 893 -2793 _yes _.___Ile www.hamett.org/pemrits • 1 - • Certification of Work Performed•by Owner/Contractor . . (individual Trade Application) • - • - Contractor Information . CRani Mnrrts will complete the etc 641 ta- ( work on the projector (Name) (Trade) structure heroin described. My state license number is 1 1001 , , All work shall comply with the State Building Code and all other applicable State & Local b. law, ordinances and regulations. . _ Company Name: tnti }&actiS F. 1 i tr,.( SP./LIU-CS Mailing Address: I3SO)•y Sht11 f4 Wry! ton %oad 3tn NC. .2 7 ;3a Street Address: Business Phone: 9,1 9 - Email Address: -- "Company name, address, & phone must match Information on license. p Land Owner's Name: Sc.rk4 . -•�Qh oft M b a/ o 1 o lemon i F ' n Phone: q i /- et 4-3 Tenant/Building Owner(if different): Phone: Construction or Site Address: I - 17 Fb)c 1177✓ t4 . 50,1 PL a? 33? PIN or Parcel # from GM: Q sB S - -D(c -149 4 . voo Spqecific Dlr cti ns to Job from Liillnaton: u1 S. or J. Main - kI- oars Did lJ4-.U, f-tte• is -$7 - N L A a . re 0 P1 Description of work to be done: rt C.onn f,i a Ira( -rl cu.( Job Cost: 30D - Mechanical: New Unit With Ductwork — New Unit Without Ductwork Gas Piping — Electrical: 200 Amp Amp Service Change Service Reconnect Other Plumbing: Water /Sewer Tap Number of Baths _ Water Heater Permit Cost ' Permit Fee: $ . - (calculated from fee schedule) Mail In Processing Fee: $3.00 per application For Electrical Permits with Progress Energy we need the premise number provided. Total Enclosed: $ tCD• Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP) PO Box 65 Lietngton, NC 27546 • Contractor's Signature: _ Date: 7 lCI _Le DO NOT SEND CASH. I MPPLETE APPLICATIONS WiLL NQT BE PR CESSED. TRADE 4m8 Aug. 3 20110 9:13AM 72 Degree Heating /AC No. 1900 P. 3 Application # ' ]?lase note if leis Mail In application is part of a job is prowess PO County Central Permitting gym ors PO Box 65 LIINngton, NC 27546 with 910-893-7525 Fax 910- 893 -2793 _yes no www.hamett.org/permits Certification of Work Performedby Owner /Contractor (Individual Trade Application) • • • " Contractor Information • I, WCS m C& oil will complete the rn t c.hnn LAI work on the project or (Name) (Trade) structure herein described. My state license number is auto (r . All work shall comply with the State Building Code and all other applicable State & Local law, ordinances and regulations. Company Name: 7e._'ba4n& s kesulirrrl +• A-11t_ COA i y-hni Mailing Address: aalaoD Wwy Sa VLa753a Street Address: Business Phone: 114- 1 11 -401 -) Email Address: U1YS A eels tin /'m ast. 'Company name, address, & phone must match information on license. ti n Land Owner's Name: 34''CV{. + Shefr; atistn Phone: 419 -q -, C'D7 Tenant/Building Ownergf different): Phone: Construction or Site Address: jfl FOX. Ulm pl' 3sir4r4 1JG X1331.. PIN or Parcel # from OIS: 9 51 . qq 4. bn7 5.1/4 lfl D -•i.• ! O. I! 11 !e! a: 74 — pnl•o bla Ad � . - 1 M.4.r, ov v U C -$1- S i i a r din "Ta 1 1 4 04; Fox. Inno4 ' • d' Description of work to be done: &C OT bad ?5 -k°' UtP Job Cost: 1 Mechanical: New Unit With Ductwork °✓ New Unit Without Ductwork Gas Piping Election!: 200 Amp •__ c200 Amp _ Service Change _ Service Reconnect Other Plumbing: Water /Sewer Tap of Baths Heater Permit Cost Permit Fee: $ �' (calculated from fee schedule) Mail In Processing Fee: $3.00 per application For Electrical Permits with Progress Energy we need the premise number provided. Total Enclosed: $ 55.0 O Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP) PO Box 65 /I 11 Lilhngton, NC 27546 Contractor's Signature: W44_'r Date: � 7/ DO NOT SEND CASH. I t APPLICATIONS WILL NOT OC ESSED. TRADE 4/08 GIS_Public: Powered By Freeance 4.3.2 - TD— Group Inc. P 1 of 1 H '7.Y.. , v - et 7 t; "GIB , , �,qtt 1 l CE,! „', Iis� ,- � � vn[Hj� , �(� i , � S t �' 9 ft �g;Ury� ]I 6 { { ��i ( 1 r 1411I ll n, 1 1 7 IliillCp � , a �l Search � y,,� RaN "� s .� 4 „A b ps 4,n L �wiul2k,a =” ',. 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