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TRADE Application # 1 / 7 O fi Z 5 ✓ 9 Harnett County Central Permitting PO Box 65 Lillington, NC 27546 910 - 893 -7525 Fax 910 -893 -2793 www.harnettorg/permits Certification of Work Performed By Owner /Contractor (Individual Trade Application) Owner (s) of Structure: Lea P.- 5�L Phone: °t 1 ° • Llq°t • 0 31 2 Owner (s) Mailing Address: L. 8 a.as € Ra , ,Jrenpt.04 l NC, Land Owner Name (s): y� Phone: Construction or Site Address: _a / /� /� a PIN or Parcel # from GIS: 03 91! y' o7 Job Cost: 1 -I1 Ibo Description of Work to be donet gAr -c l.k,1? .k_ p •. 144..te. LE.•r . 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 Lillington: Subdivision: Lot #: I X3/41)4•0.- t r will provide the Wt. - cL. labor on this structure. (Contractors Name) (Trade) I am the building owner or my NC state license number is t 7 L. I5 , 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, ordinances and regulations. Structure owner(s) signature: Date: Company Name:T"ale.nit. CC -,,S4— Phone: Fr)t)• 7\-173 Address: County: Contractor's License #: • Email Address: Contractor's Signature: , Y�/� �/2 Date: /o- 1.2 *Company name, address, & phone must match information on license. Individual Trade Application 1 of 1 06/10 I I zc.1Kl. Application # / 0 J ' Z 4 2/ 4 Harnett County Central Permitting PO Box 65 Liltington, NC 27548 910 - 893 -7525 Fax 910 -893 -2793 www.hamett.org/permits Certification of Work Performed By Owner /Contractor (Individual Trade Application) Owner (s) of Structure: Phone: g5 _ Owner (s) Mailing Address: Land Owner Name (s): Phone:? Construction or Site Address: PIN or Parcel # from GIS: Job Cost: Description of Work to be done Mechanical: New Unit With Ductwork _ New Unit Without Ductwork _ Gas Piping _ 1 Electrical': 200 Amp _ <200 Amp SeMce Change Service Reconnect _ Other _ 1 For Progress Energy customers we need the premise number Plumbing: Water /Sewer Tap _ Number of Baths _ Water Heater _ Specific Directions to Job from t.illinaton: Subdivision: Lot #: I Z..rocuIL e, cG,, will provide the El . c__ labor on this structure. (Contractors Name) (Trade) I am the building owner or my NC state license number is Z L , 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, ordinancee and regulations. Structure owner(s) signature: Date: Company Name: Phone: etrw- 2. Address:1. c ci. 3 24 u t I r. County: Contractor's License #: z/ t u I_ Contractor's Signature. Date: *Company name, address, & phone must match Information on license. TRADE 1/08 108 E Front St, Lillington, NC 27546 to 696 Jesse Rd, Broadway, NC 27505 - Google Ma... Page 1 of 2 Google maps Get Directions My Maps II Print Send Link p t III .�� E .. , li : .iii i t i �_ ,, t Ill i :.- .. ,} ali���ill df� I II ' i �4 I t f ( It - j h lr l� 1 rj 17 a r 8 407 „ , l J Ian i ( lii�� i (' I 4 ( (i ii i ri'ili:r,i I{ t i i� t� - l - 6 ,i c I '4: ( v' i ( ..;';,-,i;;;::',.'.11, � 'ir i l � l � � �� i j � :� * t ,t, 't 1,i t jl i • t - t _ i i t k i `U 1 Ii � p; n {� III t 1 ∎: tli 0 ' ill . n W” i4:,;, ' ' , Ott1USa1 � til �ii Ii lt l l li 4 ! , � I t? Idamety ,"'Zia-1. ay 4 21 , � p }�., Iii a L , i r 1 i ..„ tii 1 , I ii tl i�l� iii • '� ,,i `fi - p , ' 44t ii � li r ( • x i ibt , 1 8 I t . it � � l y I III i i � ,� � �a � , � � �! 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Turn right at N Carolina 27 W/W Old Rd 8.5 mi Continue to follow N Carolina 27 W _ 4. Turn right at Leaflet Church Rd 3.4 mi 5. Turn left at McDougald Rd 3.1 mi 6. Turn left at Jesse Rd 0.7 mi Destination will be on the right http:/ /maps. google.com/ maps ?saddr = 209+ edgewater +dr+broadwaye /u2C +nc& daddr= Bon... 10/19/2010