DOCUMENTS F7 i Application# a•-AJC l ,4 L n
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546 - Ph:910-893-7525 - Fx: 910-893-2793 - ww,v.harnett.org/permits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
Owner(s)of Structure: N4nrv.I.I arc.. ofc.hri / Phone: 9/o• Alta-Peat su
Owner(s)Mailing Address: /5&o 5 '..J4 iL s..r St<•
Land Owner Name(s): 774¢..s.th/ C•& S Phone: 7/O-sec -/oo3
Construction or Site Address: act l( /A.txe, C. . ,c .../ AeeO
PIN#fLO(o 3-- S 3 - .O(1) Parcel# bk l7lo(o a quo
Job Cost:/fen' �+ Descriptio'nof Work to be done stn.-544W
Boo
ftYti9c' Kdr_ ,T4.-7's
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
�5 ecific Directions to Job from Lillington: 9 y
�..-..- .�/ (A �SIs/ Z/. Fi'fas 74� Cr�+r�CL/'�/.� Au-Asa".
of=
Subdivision: Lot#:
I t,4 64C .4s E/<c/ will provide the gk-e.�,tcort labor on this structure.
(Coi tractors Name) (Trade)
I am the building owner or my NC state license number is ,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.
Contractor's Comparcy Name / Telephone
�`7/� 1 4l 2 7 c.0 L-i/f'''"� ,.
Address / Email Address
2/7/7 - ce-L
License#
i
Structure Owner/Contractor Signature: e _ _ Date: X-79-77
-77
By signing this application you affirm that you hay: obtained .ermis '•n from the above listed license holder to
purchase permits on their behalf. If doing the work as own: you understand that you cannot rent, lease or sell
the fisted property for 12 months after completion of the listed work.
*Company name, address, & phone must match Information on license
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.
Application Number 17-50041447 Date 5/22/17
Property Address 2911 HARNETT CENTRAL RD
PARCEL NUMBER 04-0662- - -9001- - -
Application type description CP STANDALONE TRADE - COMMERCIAL
Subdivision Name
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
HARNETT COUNTY BOARD OF HARNETT COUNTY SCHOOLS
EDUCATION MAINTENANCE DEPT.
PO BOX 1029 PO BOX 1029
LILLINGTON NC 27546 LILLINGTON NC 27546
(910) 893-4808
Applicant
R A GREGORY ELE
1948 NC 27 W
LILLINGTON NC 27546
(910) 985-1003
--- Structure Information 000 000 INSTALL 800 AMP SERVICE FOR HUTS
Other struct info PROPOSED USE 800 AMP SER
Permit COMMERCIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code . 1192590
Issue Date . . . . 5/22/17 Valuation . . 1500
Expiration Date . . 5/22/18
Special Notes and Comments
T/S: 05/22/2017 11 : 52 AM JBROCK ----
2911 HARNETT CENTRAL RD
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 17-50041447 Date 5/22/17
Property Address 2911 HARNETT CENTRAL RD
PARCEL NUMBER 04-0662- - -9001- - -
Application description . . CP STANDALONE TRADE - COMMERCIAL
Subdivision Name
Property Zoning RES/AGRI DIST - RA-30
Permit COMMERCIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1192590
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 265 E265 C*ELEC FINAL / /_
999 257 E257 C*ELEC OVERHEAD / /_
999 263 E263 C*ELEC RECONNECT / /_
999 253 E253 C*ELEC TEMP POWER CERT / /_
999 261 E261 C*ELEC UND POOL / /_
999 259 E259 C*ELEC UNDER SLAB / /_
999 255 E255 C*ELECTRICAL UNDERGROUND / /_
999 251 E251 C*ELEC ROUGH IN / /_
999 267 E267 C*ELEC TEMP SERVICE POLE _/_/_