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TRADES u0/11 /LUAU 10:10 31JI I0Uuooc rIMI,r'J ft.MI11Vq r'MV. U.7/00 Application # /D .2O0 Maine application Please note if this application Harnett County Central Parmitling is part of a job in progress PO Box 65 Lillington, NC 27546 with open permits. 910- 893 -7525 Fax 910-893 -2793 www.hamettt.org/permits • yes _ no Certification of Work Performed by OwnerlCont for (Individual Trade Application) ctractor Infottn; 1, D •.r/ Foe Si nv'fo.t S will complete the eke" 'F r" 1 / work on the project or (Name) rade) structure herein described. My state license number is & 07 97 o?ri/Ji work shall comply with the State Building Code and all other applicable State & Local law, ordinances and regulations. Company Name: b 1 ' ...... 7 - .. ` Mailing Address:. r L d Cedn t La. Slit - it/G 027 3,s a Street Address: S`'r! /Lt4 Ce4acr Lei ..5;q--t - A/C x733 2 Business Phone: 9''l9 - S6 r V /;..0 Email Address: 'Company name, address, & phone must match information on Iicense. ,lob Information Land Owner's Name: Phone: tenantBuliding Owner (if different): B Phone: Construction or Site Address: 7 1/457,90t, .. 2 B recta/A a r , eve 02 7>5t'5 PIN or Parcel* from GIS: • 8cecific Directions to Job from Ljjlington: Description of work to be done: to C Mee'_ Job Cost: Mechanical: New Unit With Ductwork _ New Unit Without Ductwork Gas Piping Electrical: 200 Amp _ <200 Amp _ Service Change _ Service Reconnect _ Other _ Plumbing: Water /Sewer Tap — Number of Baths _ Water Heater permit Cast Permit Fee: $ (calculated from fee schedule) Mail In Processing Fee: $3.00 per lob For Electrical Permits with Progress Energy we need the premise number provided. Total Enclosed: $ Make check payable & Mail completed application form to: Hamett County Central Permitting (HCCP) PO Box 65 Lillington, NC 27646 Contractor's Signature: 6aelfr-&-z Date: / — /J - /© "DO NOT SEND CASH. INCOMPLETE APPLICATIONS UW1L _ N TO BE PROCESSED'" individual Trade Mall in Application 1 of 1 04110 wr • r, GVL Ed a.+• SU J.I. J1 rowaw r1-1'_,n.7 nGt11 J.11%.1 rriuL UL, uu Application # /0 Iron 4'do2c Mali In application k Please note if this application Haman County Central Permitting is pad of a job in progress PO Box 65 LIllington, NC 27546 with open permits. 910 -893 -7525 Fax 910-893-2793 www.harnett.org/permits Y� rro Certification of Work Performed by Owner /Contractor (Individual Trade Application) Contractor Information ' f 1, A P...5 Lit .S i ✓ e / will complete the t1 V _ work on the project or (Name) ( Trade) structure herein described. My state license number is o 11 7 77 , All work shall comply with the State Building Code and all other applicable State & Local law, ordinances and = e lations. r r . Company Name: a_. - ti _( , e s' ' rre Melling Address: .. _d C / A j ` �a=- a+ -� [ S � - - A✓G ' 7 _ Street Address: I 'i� - -. / �� , r - , Business Phone: ?f-776 ` c/av Email Address: 'Company name, address, & phone must match Information on license. kilinfintilista Land Owner's Name: J e.. C . bra i-Lf Phone: Tenant/Building Owner (if different): ( Phone: Construction or Site Address:78 5 .5 /not.% Q d 3 roc &Ic,1l y IA/ Cr °Z 2 mS PIN or Parcel # from GIS: cre.isc Direc to Job from LIIIinaton: Description of work to be done: hC-Q C.A1'A fry S i°� ed' it ob Cost Mechanical: New Unit With Ductwork — New Unit Without Ductwork ^ Gas Piping Electrical: 200 Amp _ <200 Amp ! Service Change ^ Service Reconnect — Other , Plumbing: Water/Sewer Tap �.. Number of Baths Water Heater emi Cost . Permit Fee: $ (calculated from fee schedule) Mail In Processing Fee: j3.00 Der lob For Electrical Permits with Progress Energy we need the premise number provided. Total Enclosed: $ Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP) PO Box 65 ,/ -^ Lillington, NC 27646 Contractor's Signatu " I.:,/ : //� . -✓ Date: 9 _ 7-5 -- / 7 **DO NOT SEND CASH. 1 O PPLICATIONS WILL NOT BE PROCESSED" Individunl Trade Mail In App,iceG ^n 1 of 1 04/10 GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1 l a{l'r Y 7 � �i t � ' ✓' i ii i it - 9 � O .: it 1 , 1 .5#.004#113 ' , ` ffi " . =f t' 1 . 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