DOCUMENTS 6J Lg II 1Application# i 1c-b I Vc)
Harnett County Central Permitting
PO Box 65 Lillington,NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - www.harnettorg/permits
Certification of Work Performed By Owner/Contractor
II (Individual Trade Application)
Owner(s)of Structure: OQIP._l l` _14one: 7`� .53 /
Owner(s) Mailing Address: 9 905 c,f6/c Rd,
Le/e// Ne 77 &//0
Land Owner Name(s): SAixuiC MfrRoA" Phone: S
Construction or Site Address: 3 93 }-fi3R,N A/v /VC 2 g' 32-6
PIN# qS�S-is-4S99.Ooo Parcel# 099545007S01
Job Cost/ZOD ' Description of Work to be done IA-7 S f TAP -Y / km/,I,i
TO MaSIc.
Mechanical: New Unit With Ductwork_ New Unit Without Ductwork_ Gas Piping_Other
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:
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Subdivision: Lot#:
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rt
will provide
a n4 ovide the / Glabor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is 7 C2 / , which entitles me to
perform such work on the above structure legally. All work shall comply with the State Building Code and all
other applicableiclState and local laws, ordinances and regulations.
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Contractor's Company Name Telephone,
t..17 7q3 i/As3 foga . 2g'394TPverg CeA02,ca/flude;t6
Address Email Address
NC- 7 c7 /
License # /7),
e.�2Structure Owner/Contractor Signature: /'J/l�ItDate:
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By signing this application you affirm that you have btained permission from the above fisted license holder to
purchase permits on their behalf. If doing the work as owner you understand that you cannot rent, lease or sell
the listed property for 12 months after completion of the listed work.
`Company name, address, & phone must match Information on license
i1AKNL11I.UUNTY Cr;N 1'HHL YC1NY1'1"1'11VV
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Application Number 17-50041434 Date 5/19/17
Intersection
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - _
Application type description CP SEWER/WATER TAP
Subdivision Name
Property Zoning UNZONED
Owner Contractor
OAK CITY INVESTORS LLC CADDELL PLUMBING LLC
4905 GREEN RD 696 VASS-CARTHAGE ROAD
STE 107A RALEIGH, NC 27616 CARTHAGE, NC
RALEIGH NC 27616 CARTHAGE NC 28327
(209) 505-9531 (910) 947-2594
Applicant
OAK CITY INVESTORS LLC
4905 GREEN RD
STE 107A RALEIGH, NC 27616
RALEIGH NC 27616
(209) 505-9531
--- Structure Information 000 000 WATER TAP HOOK UP
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc .
Phone Access Code 1192236
Issue Date . . 5/19/17 Valuation . . . . 0
Expiration Date . 5/19/18
Special Notes and Comments
T/S : 05/19/2017 11 :32 AM JBROCK ----
HWY 24 TO LINE RD TO HARMAN DR
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Page 2
Application Number 17-50041434 Date 5/19/17
Property Address 91749 TECH 2
PARCEL NUMBER - -
Application description . . CP SEWER/WATER TAP
Subdivision Name
Property Zoning UNZONED
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc .
Phone Access Code 1192236
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 305 M305 R*PLUMB SEWER CONNECTION _/—/-
999 307 P307 R*PLUMB WATER CONNECTION _/—/_
999 309 P309 R*PLUMB UNDER SLAB —/ /
999 131 R131 ONE TRADE FINAL —/—/-
999 125 R125 ONE TRADE ROUGH IN /�/�
999 315 P315 R*PLUMB HW HEATER