TRADES sep. 29. ZUIU 9:U(1PM 12 Uegree heating /AL No. 251J r. Z
Application # 7) aOd d y
Please note if this application Mail In anolication
is part of a job in prowess Harnett County Central Permitting
with permits PO Box 65 Lillington, NC 27546
810 - 893 -7525 Fax 910- 893 -2793
yes ..no www.hamettorg/permits
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Certification of Work Performed•by Owner /Contractor
(Individual Trade Application) - •` •
Compactor lntornaUon
I, lAlt S 'M C Leod will complete the fl\P.c -ha.n i uA I work on the project or
.(Name) (Trade)
structure herdin described. My state license number is aq a lv(# . All work shall comply with the
State Building Code and all other applicable State & Local law,, ordinannc es and regulations.
Company Name: 1)- hP.qnaffs 11.94.4 ' nS 4- 1y-t 2 (Ant-r ince
Mailing Address: , LOD 344Sasan btu) i J 1440 I Nfretret, A) C a.733
Street Address: r...ti to QS a loDue
Business Phone: e i l`i - ») -mil» Email Address: 1,4.s eS c& Clean a1 Inc. Or,
'Company name, address, & phone must match Information on license.
Job Into 0
Land Owner's Name: $nrath.4- Hatold tittivad Phone: x119 - 2513- 3D31
Tenant/Building Owner(if different): - Phone:
Construction or Site Address; I bbi> 41, c.K.s - OA .) 1stD4.1i. -Ns.y IJ L. .1157) S
PIN orParcel #fromGIS: b1ot -11— 7 S 1. ca b
e ifc Dire i s b wirn LiAin
/PAW rnn S- Mpn ' l i t yt,4- 0 A 944 b R. on tool SprM'S. killt4-P n 4It' s
Description of work to be done:rrw l trRl n i Sj LrT Job Cost: q aso
Mechanical: New Unit With Ductwork New Unit Without Ductwork v Gas Piping
Electrical: 200 Amp r200 Asap _ Service Change ^ Service Reconnect Other
Plumbing: Water/Sewer Tap ___•_ Number of Baths _ Water Heater
Permit Cost •
Permit Fee: $ 50 (calculated from fee schedule)
Mail In Processing Fee: 53.00 Der application For Electrical Permits with Progress Energy
we need the premise number provided.
Total Enclosed: $ 5 -0117
Make check payable & Mail completed at). ication torn to: Harnett County Central Permttting (HCCP)
PO Box 65
UIIington, NC 27546
Contractor's Signature: !. , /� Date: 1 3 4 - ,,lo/ b
DO NOT SEND CASH. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
TRADE 4/08
Sep. 29. 2U1U h:UUPM /2 Degree Heating /AC No. 2h23 P. 3
Application # ' /d are 6 07.77
Pease note if this application Mann abolication
is pact of ajob is progress Warnett County Central Permitting
�� PO Box 65 Lillington, NC 27546 open permi.
910- 893-7525 Fax 910- 893 -2793
_— yeS __._ -no www.hamettorg/permits
Certification of Work Performed by Owner /Contractor
(Individual Trade Application)
Conttpptor Information . 1 .
I, ,cnal 1 M p rr:S _ will complete the l e-- 1 C+ 1. 4 t- A- work on the prdject or
(Name) (Trade)
structure herdin described. My state license number Is 1 7 All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: Tf] nag M n rri S ? teckri cal &tutCu's
Mailing Address: 19444 S wr;r4 I O t i c r r . b a d Scotreret , 1u L al 3 R a
Street Address: ga vwe aS a hone
Business Phone: 4 104 - �7� - �� 31 Email Address:
'Company name, address, & phone must match information on license.
o rm tion
Land Owner's Name: ,S M rt . tel.uld v Phone: CI l9 - ASR -3t
Tenant/Building Owner(if different): — Phone:
Construction or Site Address: I (ED D i f 124 ' t PA ad( w
I. r y , J.) L a7 SOS
PIN or Parcel # from GIS:, Oka 2-11- `i San • bob
•
Specific Direr s Job from L Oi on:
�ou4a. on S. Ma cn csh on! PtLo# Sktetl R.. e,. Cbo Seti 43 ( ki9 tcE ati 1 LkS
Description of work to be done: in40.tl I"nrni Spref Job Cost: tLC'
Mechanical: New Unit With Ductwork _ New Unit Without Ductwork Gas Piping
Electrical: 200 Amp .400 Amp Service Charge Service ReconnectCOOther
Plumbing: Water /Sewer Tap _ Number of Baths Water Heater
Permit Cost •
Permit Fee: $ S - (calculated from fee schedule)
Mail In Processing Fee: 83.00 per aoolication For Electrical Permits with Progress Energy
we need the premise number provided.
Total Enclosed: $ S3 " Dr)
Make check payable & Mall compieted application form to: Harnett County Central Permitting (HCCP)
PO Box 65
f/ LAlington, NC 27546
Contractor's Signature: m. , ter/ Date: Q 1 aq JADI D
DO NOT SEND CASH. I , •' . MPLETE APPLICATIONS WILL NOT BE PROCESSED.
4108
TRADE