TRADES 2009/03/18 09:03:01 Harnett County Page:2 /2
Application # -o 0
Harnett County Central Permitting
PO Box 65 Lillington, NC,27546
910- 893 -7525 Fax 910- 893 -2793
www.harnett.org/permits
Certification of Work Performed By Owner /Contractor
(Individual Trade Application)
Owner (s) of Structure: 4NA) !e/Q)L E y / A Phone:
Owner (s) Mailing Address: / n0 Air /1/.2 i LL / ,'a I° &A
Land Owner Name (s): ,40d 6/u RV Phone:
Construction or Site Address: / 0 0 2 4c-4'e, c e /17i A fl`P
PIN or Parcel # from GIS: II
icy
Job Cost: 3 33 b Description of Work to be done CAHn),1 9 r r4t G 'is - b /ec7r
ackPrAlE
•
Mechanical: New Unit With Ductwork _ New Unit Without Ductwork Gas Piping
Electrical *: 200 Amp <200 Amp _ Service Change Service Reconnect Other
` For Progress Energy customers we need the premise number •
Plumbing: Water /Sewer Tap Number of Baths Water Heater
Specific Directions to Job from Liilinuton: `
• cl
Marl U - in ,+w I�e 9Y l � Aid y r , mi � ' ,a Jig • _ r [
C- rim- St f 3Mt , / K Ye Zia pa ry I rw e rte wf t�1 N w F7orf S /' d
I Z, O N - it L 4j /I t J17i
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Subdivision: Lot #:
I laateA 6 D- Lch.ene HVAC will provide the Mechavu.ea2 labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is 9369 , which entitles me to
perform such work on the above structure legally. All work shall comply with the State Building Code
and all other applicable State and local laws, ordi(tances and regulations.
Structure owner(s) signature: Date:
e''
Company Name: loyneh & Dickevz HVAC Phone: 1919) 774 -6841
Address: 92181 Po. Avenue Sani me 27330
County: Lee Contractor's License #: 9369
Contractor's Signature: Date:
*Company name, address, & phone must match information on license.
TRADE
4108
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2009/03/18 09:03:01 Harnett: county Page:2 /2
Application #
Harnett County Central Permitting
PO Box 65 Lillington, NC,27546
910- 893 -7525 Fax 910- 893 -2793 •
• www.harnett.org /permits
Certification of Work Performed By Owner /Contractor
(Individual Trade Application)
Owner (s) of Structure: AAbv BA 'LE Phone:
•
Owner (s) Mailing Address:: I On / eilkiLC, /n).Lrr A-04t
Land Owner Name (s): /'r N n) • B `r • . Phone:
Construction or Site Address: /Oo'T 44c/1 )1 !l,ri &AD
PIN or Parcel # from GIS: LL
•
Job Cost: 3880 % Description of Work to be done CtiaN o- 6 4 t.-4c - Clecl ry c.
, .Mechanical: New Unit With Ductwork y _ New Unit Without Ductwork Gas Piping
Electrical 200 Amp <200 Amp • Service Change Service Reconnect _ Other __
* For Progress Energy customers we need the premise number
Plumbing: Water /Sewer Tap Number of Baths Water Heater
Specific Directions to Job from Lillinoton• •
•
•
Subdivision: Lot #: to
•
I Jo linen g D- .ckene HVACwill provide the EQec to Lcat labor on this structure.
(Contractors Name) (Trade) •. •
I am the building owner or my NC state license number is 20461 -L which entitles the to
perform such work on the above structure legally. All work shall comply with the State Building Code
and all other applicable State and local laws, ordinances and regulations.
Structure owner(s) signature: Date: _.
CompanyName: Jo,yneA & Dickenb HVAC Phone: ( 774 -6841
Address: 2218 Lee Avenue Sanbond nc. 27330
County: Lee Contractor's License #: 20461 - ,
Contractor's Signature: • Date:
*Company name, address, & phone must match information on license.
TRADE 4 /0t;
•
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