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TRADES Nov, 15. 2010 9:41AM 72 Degree Heating /AC No. 3351 P_2 Application* ' /e7 a2- 1 0 Please note Harnett County Central Permitting )Mail In application Plea j — is pan of a job in i pmplica U� 6 withopenpeamitr PO Box 65 Uflington, NC 27546 910493 - 7525 Fax 910-893 -2793 ,no www.hamettorg/pemiits • Certification of Work Performed.by Owner /Contractor - . ' • (Individual Trade Application) • • • " • Contractor Information ' 1, WtS Mg-cod will complete the neves: 6 Ca l work on the projector (Name) (Trade) structure heroin described. My state license number Is Jag abto . All work shall comply with the State Building Code and all other applicable State & Local law, ordinances and regulations. Company Name: la • Brra , 11rrciing i- -kr ranA•ylien1nq Mailing Address: J Street Address: Alarm ,le te:.rsnn bm S Snn nrrl NC, 0-^1,3aa Business Phone: gta - �� fl- 9191 EmarlAddress; airs !'aorsnn; nc. conk 'Company name, address, & phone must match information on license. Job information Land Owner's Name: Q'che rA Loh s . PhoneL cl to •yq R 44 tO Tenant/Building Owner(if different): Phone: Construction or Site Address: 54 Can`ion Crw.r# Spnioed NYC , Q 17,Ra PIN or Parcel # from GIS: °I St (t -12 - '75''1 Ono rh Di o Jo rom i i o : rLrn R- aut S. Turn, g ,.n irs W11 61•,Tinrn L onto U5 Jot IS Main s -, Turn en- • -- s. o• o. - a C - - 1 • . - O :.;• , • • ._ . rk Description of work to be done: 2.u9 \oc iftr os . }l YA C r in'* Job Cost «(o DO . CO Mechanical: New Unit With Ductwork - New Unit Without Ductwork _ Gas Piping , Electrical: 200 Amp 4200 Amp — Service Change _ Service Reconnect Other _ Plumbing: Water/SewerTap Number 01 Baths Water Heater Permit Cosh • Permit Fee: $ 8O0 (calculated from fee schedule) Mail In Processing Fee: $3.00 per application For Electrical Permits with Progress Energy we need the premise number provided. Total Enclosed: $ e)3.00 Make check payable & Mall completed application form to: HP Betttk C Central Permitting (HCCP) 1 29_ eGngton, NC 27546 � Contractor's Signature: Date: DO NOT SEND CASH. NCOMPLETE APPLICATIONS WILL NOT BE RO ESSED. TRADE 4/08 Nov. 15. 2010 9:41AM 72 Degree Heating /AC No, 3351 P. 3 Application* ' Mall In anollcatlon Please note if this application is eput note f P+ Harnett County Central Permitting with open pia PO Box 65 Liltington, NC 27546 910 - 893 -7525 Fax 910 - 893 -2793 _ yes _no www.hamettorg/permits • • Certification of Work Performedby Owner /Contractor (Individual Trade Application) • • • • Contractor Information ` I, 2,ar1 Morris will complete the e1erkrl work on the PrtiJect or ' tName) (Trade) structure herdin described. My state license number is floOr1 . All work shall comply with the State Building Code and all other applicable State & Local law, ordinances and regulations. ` Company Name: 124..rAki Morris eec r1ca S2xvi Mailing Address: Street Address: I'M4 8het, Wal;son Q.d SAncnrdl Nr, ,01R3a Business Phone: Cl Bf,a1 Email Address: 'Company name, address, & phone must match Information on license. Jab information Land Owner's Name: ecinceA Lo Phone; c1 1c1 - 44. la Tenant/Building Owner(If different): Phone: Construction or Site Address: s`1- ('anion Court ,Stn6e,rcl Nc, a'13Aa PIN or Parcel #from GIS: CrO • 5 tic Directions to .lob fro it Allinaton: rn a DST, A' "a R +, Tarn R on r. I , Sf. TAM L nM UG - Ja A Malta % TWA WirrAllermia Description of work to be done: 44VRC iA ffre t Job Cost: A/X�.CO Mechanical: New Unit With Ductwork _ N ew Unit Wititdut Ductwork Gas Piping Electrical: 200 Amp — X200 Amp _ Service Change — Service Reconnect _ Other Plumbing: Water/Sewer Tap _ Number of Baths _ Water Heater _^ Permit Cost • Permit Fee: $ CiO. nn (calculated from fee schedule) Mal In Processing Fee: For Electrical Permits with Progress Energy we need the premise number provided. Total Enclosed: $ 60 . Make check payable & Mar'I completed application form to: Harnett County Central Permitting (HCCP) PO Box 65 Wington, NC 27546 Contractor's signature: f<. y. , Date: 1 D0 NOT SEND CA . 1 '; • MPLETE APPLICATIONS WILL NOT E PROCE TRADE 4/08 GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1 f4 F �1 I ' 1 411Y#gr'�• 'h r � ap �kt ", + 1 i� , x z o • iauK .is •xs t t a o :1 ., ? '� w. r Y 1 ti, � ^`t5. 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