TRADES Oct 08 10 02:28p Comfort Heating & Air inc 910 - 904 -5761 40.1
Application # lid dDD d -
Harnett County Central Permitting
PO Box 65 LRiington, NC 27548
910-893 -7525 Fax 910- 893 -2793
By
Certification of Work Performed By Owner /Contractor
(Individual Trade Application)
Owner (s) o f S t r u c t u r e : t m, c t 9 Phone: 9 / 1) `)3(40 - • 1
Owner (s) Meiling Address; 5 i-1 t `q7' k , A L. t1 Sir r, I nc? in. KO
Land Owner Name (s): Pi
Constnxxton or Site Address:
PIN or Parcel # from GIS:
Job Cost: Description of Work to be done pine Q. f h 'oat p ti m p
Mechanical: New Unit With Ductwork _ New Unk Without Ductwork2L Gas Piping
Electrical': 200 Amp 1200 Amp Service Change Service Reconnect Other
• Far Progress Energy custom= we reed the premise number
PlumHng: Water/SewerTap Number of Baths _ Water Heater
/ J�
SoseNia Directions to Job from LB6rrotort: e /
Subdivision: Lot A:
1 l``;7 i 4 rt l4ecxri h0 i Q, w9 provide the �kPrrti nrr art tenor on this structure.
( rainkacrore tu g) ,
I am the building saner or my NC state license number Is , which entitles me to
perform such work on the above structure legally. Al work shall oomply with the State Building Code
and all other applicable State and focal laws, ordinances and regulations.
Structure owner(s) signature: Dom
Company Name: (i9n1CO r AR!' iItrin Phone; gin 90L/ .5
Address: P,f)1P t I RO(n
County: MO ko- /J C' odntradors Unease #: a 5711
Contractors Signature: aartirn 7C mf7 /.4 Data: /D -? -/O
- company norm, address, & phone must hdormation on license.
maw area
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