TRADES 11/17/2010 09:45 9108682680 ALL SEASONS AC HTG PAGE 02/02
Application #! CJ v
Please note if this applieetioa Mall In aoDlicatios
is part of a job in progress PO Hameti o County Central NC 276 6
with open peumit ^i
s. PO Box 75 Ullington, NC 3.279 3
ww dc) vl
•/ 810- 8937625 Fax 910.893279
` yes Sao w-hameC.org/permis
Certification of Work Performed by Owner /Contractor
(Individual Trade Application)
• //++ Contractor Information
I 1 Y t l h itch — wfi complete the MPf"CC1t ft t work on the project or •
(Name) 11 (Trade)
structure herein described. My state license number is �t� . All work shall comply with the State Building
Code and all other applicable State & Local law, ordinances and regulations. - 1
Company Name: £ icPngrns kircerctriAenst flQ re rivi ♦ Inc.
Mailin Address: at . u ••7 e.. • • we._ •
Street Address: CsAvarsorkved rottikaillle ANC Z 0
Business Phone: QM k(D% t w Email Address 5 ac�Cnv� St corn
•Compan name, address, & phone must match information on license.
Land Owners Name: n E J 1 j ` e Phone t g -, 1`
.yp6
Tenant/Building Owner (if different): Pho =-
Construction or Site Address: • IMM Rri lar R=`t .4;
PIN or Parcel #from GIS;
• =-,• ' : •i •,= .. ob ,L.,. 1 s - ,:
"sari!• _/a ,'l•_ a( ! +. .,al._ .C�', t.,. ;a ,e • L.
99)5 - (14121
„7n�+ia] G�L •• crs e,
•
. �.•, R: �Y►' ��t�li .`F71:�G�IGT.'li'!:ilE,a�LT�
1! I amooe:'iwort! '�.► imeNe'1".T►` %Ti'if welts =J,SR►i•?Ti wn _ ]l.?^rarpru .•,
FI1CA:117ri !�fiS'*:!19 u.t!eli.._a !IRR_ row ?r t icasylairiisTre , • • • • a r ,
� fe ► (1>1� Qbl O y�� Vie. rj .. +y
Description of wont to be db(re• . _e , ..If►!r'a�Lta: , s r , " — 4"'�� Jobtost: �/; 4,
44 bb hs1
Mechanical: New Unit With Ductwork .4 New Unit Without Ductwork Gas Piping
Electrical: 200 Amp _ <200 Amp _ Service Change _ Service Reconnect _ Other _
Plumbing: Water/Sewer Tap _ Number of Baths _ Water Oust
Heater
pernit _
�
I
Permit Fee: $ l6• (calculated from fee schedule)
Mail In Processing Fee: $3.00 Der lob For Electrical Permits with Progress Energy we
J need the premise number provided.
Total Enclosed: $ ( (Je, o
Make check payable & = completed application form to: Harnett County Central Permitting (HCCP)
PO Box 65
Lillington, NC 27546
I 1 /�
Contractor's Signatu If 1 i Date: I � 1201D
"DO NOT SEND CASH. INCOMPLETE APPLICATIONS NRLL HOT BE PROCESSED''
Please CO-0 CcAe& ••, Mtn* Oiver"Are Vroneir
GIS_Pu Powere By Freeance 4.3.2 - TDC Group Inc. Page 1 o 1
Vt
S � ". ` "I Selections Clear lc
ing Search
(� a f s t , y a I .� . rr ',..±, . = how All
Q g — , r s �, ,a a , I linens er
Li
r s - f . , � i I , L { t , - • , " ' g j a S cc Featu • Ne 1' 9 vt t {1 " ' ..I x � # � � SiFtC anon
a �C -k' f 1q r 800 ' -'c� NA `� - I MSATT MA RTIN & WIFE
# c' i 1 •i • 2+ :4 . � � . x•4 , - ks .. s s n l A' s � k= . P AT RICIA & F
} r y .1-'4[ s r tel.; { _ _; �
ls, " : i ` - : ''� Ai tt .t + r rs 4 ° .:4N 5 -69- 4821
anon 770 CAROLINA WAY ;_. ���.. ////
11 I - ' C f tt_°w, r s t t t ;3 v s vs 2 7 ¢ k* 57 ' NFORD
x r . x r , 14' V , „ k .. i J 11 -' NC S�
A
11 g r 1 , r , ICI . x { + .s ,, r 1 ` . ;.L' 1 ar�_ —•58 000
+d r r f l � �t , y a + - s 02
, �� 4 y 770` = :s t, { � { � ��. , J am ( • e r p �� 0017634 20028
. " -. . ' t ? •, - T a SS C WAY 000770 X
r •. °+ .s, e. 1 r w' "7°'� ` " 0r , ,, � iw� t ' #28 BLK B .....
� I r 3 t �c 3 Yi - - 'r i m Yt Y s E cI z -
r
f ! 1.00LT
C+ " " r•, kv t ,•s 5 6-- -1.----_
682263 4yI'
a v "_ °✓ x f i g ( t i .W h _
p � Site Inform
a € °v } ' r.rr+ +''. . rr p ,, �' . Ilr r 4 /� t• .' ,
_ _ - .AIL': , � r• s � � L Inform ation
Z�l •' y r
{i tent'.
'!ti', ' Y ' .:
d [PIN��[PIO] (tloop_ (1jr9�dUBOtI�l °l 0tnant* €®k9tt93tt�9 Qml i4dty�[cIt�I AROLII
Fulllat
19585.69 - ,03958502770.0 'CAROLINA WAY
'SANFORD
4821.0000028 WAy
Prev Curren Page: [1]o of[1] Next Cie
C c a a tt"h "72
http: / /gistools.harnett.org/ Freeance / Client/ PublicAccess1 /index.html ?appconfig= public1 ] 1/17/2010