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TRADES Aug. 11. 2010 9:21AM 72 Degree Heating /AC No. 1647 P. 2 • Application # ' /Q x1 Nam erne iftLls appli anon ` Mail IB enWicat 9.8 is part of a job is progress Harriett County Central Permitting PO Box 65 Llllington, NC 27546 with opeu permits. 910- 893 -7525 Fax 910- 893 -2793 Cret.if cant #- yye _ www.hamettorg/pennits See- mkt 61 • Certification of Work Performed .by Owner /Cgntractor (Individual Trade Application) • • Contractor Information . I, enay Runs will complete the Licari cra l work on the project or (Name) (Trade), structure herein described. My state license number is 10b, l- . All work shall comply with the State Building Code and all other applicable State & Local law, ordinances and regulations. Company Name: s4.4 Morels itr ric Services Mailing Address: Ind.`{ s5.her' \p)nknn LaoL l . Sar NL 8-733' Street Address: Business Phone: ci 1 q "'117 - 21; T b i Email Address: NSA 'Company name, address, & phone must match Infomration on license. Job Infonnefion Land Owner's Name: Mary Sa i r•r ginr t a Phone: q 19 -'M -3 Tenant/Building Owner(if different): Phone: Construction or Site Address: 1$ (Cart c- br i a4 C p� u%Ui'Cn t) L a 'dal, PIN or Parcel # from GIS: q 5 S i O. cco ( /N) 0 41 rio'r pOSA 1 41,Irr1R2ra-t c 'tic • io o fill a.KC ere Ina .14 gmlinar/ .1a • CRw -rcfm 4 ar M. CO/6 EJN Description of work to be done: Job Cost: ■ Mechanical: New Unit With Ductwork _ New Unit Without Ductwork W Gas Piping _ Electrical: 200 Amp _ 400 Amp Service Change __ Service Reconnect _ Other Plumbing: Water /Sewer Tap T Number of Baths _ Water Heater Permit Cost Permit Fee: $ SD • °° (calculated from fee schedule) Mall In Processing Fee: St® gar applicatlan For Electrical Penults with Progress Energy we need the premise nurnber provided. Total Enclosed: $ 55-D° Make check payable & Mali completed application form to: Harnett County Central Permitting (HCCP) PO Box 65 - Ullington, NC 27548 Contractor's Signature: Date: n/ /0 DO NOT SEND CA . I MP AP CATIONS WILL NOT BE PROCESSED. TRADE 4/08 Aug, 11' 2010 9 :21AM 72 Degree Heating /AC 'No. 1647 P. 1 Application # • jtA1 [n awplicttian Please mete if this applicon Harnett County Central Permitting is pact ofa job in progress permits PO Box 65 Lillington, NC 27546 with open 910 - 893 -7525 Fax 910 -893 -2793 y es _no w ww.hameitarg/permits Certification of Work Performed by Owner /Contractor " ! `" (Individual Trade Application) • • , Contractor Information • I, `A) es r c- l° %od will complete the Median' &J work on the project or (Name) (Trade) structure heroin described. My state license number is el.c1.1(hL, . All work shall comply with the State Building Code and all other applicable State & Local law, ordinances and regulations. Company Name: l a N1 etas 4.1w2311•1 Mailing Address: aioti, 3+eCetson +I.ta4 , San - erdl N C ,3,7331 Street Address: Business Phone: RR- 17'1 4117 Email Address: 110NS A r.(tsnnal mane.. t 'Company name, address, & phone must match Information on license. Job information Land Owner's Name: Mary .SdngCai a lt Phone: 91R-49g -Mai • Tenant/Building Owner(if different): Phone: Construction or Site Address: 7 3 (t 4i a be '10f i I _ctrn env, J C 283 ;10 PIN or Parcel # from 318: 9 545 -9 S -4 kl o.no'CYINI �'tgr&s LbSg �S (a rc a i ,�„_ •• .fie DIl.ni0 !! •• ro r Tr• u: & - et a ten IAA ,• n :':h4- . .• -c � sr!rillTh Description of work to be done: 1Z.e.tlaramser4- e- ' 14,» i• Pttn+p Job Cost: l Slo 4130• °O Mechanical: New Unit With Ductwork _ New Unit Without Ductwork GasiPiping _ Electrical: 200 Amp _ 400 Amp Service Change _ Service Reconnect Other Plumbing: Water /Sewer Tap Number of Baths _ Water Heater •_ Permit Cost • Pemtit Fee: $ 50' (calculated from fee schedule) Mail In Processing Fee: S3.00 per application For Electrical Permits with Progress Energy we need the premise number provided. Total Enclosed: $ 550,.oa Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP) PO Box 65 !Arington, NC 27546 Contractor's Signature: Date: elf 4 DO NOT SEND CASH. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. TRADE 4/08 GIS Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1 '^ t '' s ° u , a r I' a E IV, �4' I I N r i 1 0�� 1. 41; I `A'l.:ill !WK. V t6 '' .- ,h' N`,3A-+YrU' ,"`. i .41 , 4 ,IllJ 61 WWU .7J + sill! k�` +ii i) 4 . . r I4 e.-e 4 - 4 ( .1‘'.... � ^ g � i. ,...fly �II i , > ` � i r a i k � Search F . . ,i� {1c� call i, i 4� + i a � + ii "E i� � 4 i I� � 1 .. . ' IA , t r y al, ` ti e hi , + T, --- . . „ !! , it s r 'mo : I Selections 1:: :4" Il i z + g vv ',(E ; (M1 4* 1 ". 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