DOCUMENTS 'Each salmon
whoeverbelow magi be hied WI by Application# 16.50039986
is performing the wore, Muel be Hamett County Central Permitting
owner or licensed convacar. Address, PO Bu 65 Laknglon.NC 27546
mlorrnny anne & phone mum match 910493-;525 Fu w
on 910.693.2793 wweamea orgeemere
cense
CQMMERCIAL
Agargiliultukaffiginglasitalumftowner's Name: Anderson Creek Partnership,LLC
Site Address. fella Creek Drive, Spring Lake,NC Date: 03;03/17
phone: 919451/680
Directions to job site from Lillington:
Subdivision: Anderton Creek Crossing
Desrii Son Of p In ground concrete swimming pool Lot:
P roposetl Work:
Heated SF Unhealed SF 3,030
GlMral Conn•,i�a Building Cost$ x.75000
Clayton Brill and Sons, Inc
910868.8319
Building Con#aaor's Company Name
Telephone
PC • 29 Fayetteville,NC 28303 Telephone
Ad• : : mbhaire®apaanOpodwond.cam
J ' • Email Atldrees
Slf na re'1� /. UNBLDC 35207
e •r cer(s)of Corporation License#
V Electrical Contractor Information: Electrical Cost$
One •'on •f Work bonding and equipment how up Service Size:
Pioneer Electric Amps SET-Poles919.4 _
Electrical Contractor's Company Name hon7B7
80 Neil Thomas Road Lillington NC 27548 Tekplepnona
Adds s made Address
Signature
// � - i• �� Email Address
Signature of er/COntractor/OgceRsI of CorporationLicense2/tys — v
#
Mechanical Contractor Information Mechanical Cost S
Description of Work
#Units
Mechanical Contractor i Company Name Telephone
Address
Email Address
Signature of Owner/Contractor/Officer(s)of Corporation
plumbing Contractor Information. Plumbing Cost SLlcense#
Descnptlon of Work
#Baths
Plumbing Contractor's Company Name
Telephone
Address
Email Address
Signature of Owner/Contractor/Offrcer(s)of Corporation
License#
Insulation Contractor Information
Insulation Contractor's Company Name 8 Address
Telephone
'NOTE:General Contractor must fill out and sign the second page of this application