TRADE Application* ! 9 - ,9 5
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)
PICK N MOVE LLC SAM 9/v - ‘0-21i(-13
Owner (s) of Structure: Phone: KALtNL 914 - Z z S - bbfob
Owner (s) Malting Address: 123 WOODRIDGE DR, DUNN, NC 28334 -9047
Land Owner Name (s): Phone:
Construction or Site Address: 9101 US 401 HWY N, FUQUAY VARINA, NC 27526
PIN or Parcel # from GIS: / i / • (29 6
Job Cost: $3500 Description of Work to be done SERVICE CHANGE; CHANGE EXISTING 200 A
SERVICE TO 400 A SINGLE PHASE PREMxsE4 9 159 0 3 1 0
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 Lillinoton:
TURN LEFT ONTO 401 (HEADING TOWARDS FUQUAY VARINA). STORE WILL BE ON YOUR LEFT APPROX
7 MILES ( + / -).
Subdivision: Lot #:
RPB ELECTRIC will provide the ELECTRICAL labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is 26839 -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, ordinances and regulations.
Structure owner(s) signature: Date:
Company Name: RPB ELECTRIC Phone: 919 - 524 -5694
Address: 302 LENNIE SMITH RD., FUQUAY VARINA NC 27526 County: HARNETT
Contractor's License #: 28839 -L / Email Address: rtpaulol@charter.net
Contractor's Signature: �/AO,., � — Date: 11/24/2010
*Company name, address, & phone must match information on license.
Individual Trade Application 1 of 1 06/10
!k:# I Progress Energy Customer Bill page 1 uf 2
Account number 680 605 9199
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in:;ilifq El Al 0.335 011 “ALTO "R083 Total due 5165.44
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Current charges past due after Sep 9
! FICK 14 I..40VE LLC
123 WOODRIDGE DR - p Thank you for your ;Payment Aug ti $174.75
•-• _ DUN11 He 23334 1..Ilioge period Jul 23 • Aug 25
1 his hill was trailed on August 25. 2010
kW1; Usage Histury Usage
1.500 r.leter numbef YH5a1 a
_
1,125 — Rea/hugs: Aug 25 32500
_.
J.-a 23 31
750 ___.
itWit usage 858
373 .
Days in period 33 Average Idfslh per day 21:
0 lit - I■
Apr Jon Ann
Billing
$CS rate ' 9101 US 401 HWY N . FUOUAY VARINA
I CONVENIENCE STORE -
. .
e.,
" .0.(tarpe 12,00
El1C1c1V charge 752 kwh x 50.1 136 33.3200
100 Roth p: $0.00418 10.1714
ALS rate 9101 US 401 HWY U - 33 Days
h4et. halide lighi. lfin Lv48 40090 hirheina finnil
Area lighting e Ugly x $30.52 10.52
Wood pule chat ge. 1 Pule x $2.16 216
ALS rate 9101 US 101 HWY 0 23 D.sys
Ingle pressure Scdrpra ligli; 10(1) kwh 28500 lumens. Hand
Area lighting 1 Light r $13
HEP9 Aujuictrucini 3:22
:1 got th ("strains sales tax
Total - . "--" , ' " - „ -, .. - , -, : .,. $165411-
This bill is sithierl tre A 1?r per manta !ale 'laymen' charge Mier (0.1(20. i 0.
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