DOCUMENTS s�asIIn Application# sit41 7
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - www.hamett.org/permits
Certification of Work Performed By Owner/Contractor
// (Individual Trade Application)
Owner(s)of Structure: 17AAt,vey Cs.,_.,_, 0, fcA.a/ Phone: 7/s'
Owner(s)Mailing Address: Ifto 5 . AAA,• 5
Land Owner Name(s): i . / Phone:
Construction or Site„ ff Address:r2553p R 'Al
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PIN#Q ) L a`i — /4'19. arcel# (N Cst ', hao f
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Job Cost: 560 ,' ' ��
Description//JJMS ofWork to be done s SsawK at-
/
r.
e .r.L gQ'” #c•-t4
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 Lillineton:
Mstr AA. 'nod 544,/ .$
64. LC , O' /
Subdivision: Lot#:
I RAG1�y erY r Gc will provide the E/rte_?/yi cn' labor on this structure.
(Cor�fractors 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.
/9 GaQ9osv £/rc.ftsc . 9/6 . 9gy- ‘5Ja_
Contractor's Comp6ny Name Telephone
/ ,n Nc 77
I. cg Li7?4 at et ye ASII27Pcceyy,a.;i•ca-s—
Address Email Addfess
2/7/7 —
License#
Structure Owner/Contractor Signature: 3' i Date: S'Z5-�'�"
By signing this application you affirm that you hav- •/tained permi ion fr• the above listed license holder to
purchase permits on their behalf. If doing the wor r.s owner you unders .nd 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
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 17-50041477 Date 5/25/17
Property Address 2495 RAY RD MAIN BLDG
PARCEL NUMBER 01-0513- - -0201- - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Owner Contractor
HARNETT COUNTY OF HARNETT COUNTY SCHOOLS
PO BOX 759 MAINTENANCE DEPT.
LILLINGTON NC 27546 PO BOX 1029
LILLINGTON NC 27546
(910) 893-48.08
Applicant
R A GREGORY ELECTRIC
1948 NC 27 W
LILLINGTON NC 27546
(910) 984-6932
--- Structure Information 000 000 SER POLE FOR POWER AT CONST SITE OF HUTS
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE ELE
WATER SUPPLY NA
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1193150
Issue Date . . 5/25/17 Valuation . . . . 0
Expiration Date . 5/25/18
Special Notes and Comments
T/S: 05/25/2017 10 : 41 AM JBROCK ----
TAKE 210 S TURN R ON RAY RD SCHOOL IS
ON L
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 17-50041477 Date 5/25/17
Property Address 2495 RAY RD MAIN BLDG
PARCEL NUMBER 01-0513- - -0201- - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1193150
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 211 E211 R*ELEC ABOVE CEILING / /_
999 217 E217 R*ELEC RECONNECT / /_
999 205 E205 R*ELEC UNDER SLAB / /_
999 215 E215 R*ELEC. UND. POOL _/ /_
999 213 E213 R*ELECTRICAL UNDERGROUND / /_
999 131 R131 ONE TRADE FINAL / /_
999 125 R125 ONE TRADE ROUGH IN / /_