DOCUMENTS l..l I ^ Application# I '15604
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - wuw.harnett.org/permits
Certification of Work Performed By Owner/Contractor
p � (Individual Trade Application)
Owner(s)of Structure: 9, C. / l arri p/ Phone: /q
7a �y J 5r t c
Owner(s)Mailing Address-,./1 mantra ii 1 L-i/.ma y vv C, 27Ss'
Land Owner Name(s): A. C. /n5, Phone: S4 nG
Construction or Site Address:r -
PIN# �5J1y � tb
t4 ,acO Parcel# 13 ns-aa 9 UO 'ao
Job Cost:asDescriptior of Work to be done /-J5pec I b4 vmt
`,. o_ 4Qyv�«T Cas —c\ U_brL
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:
take ° Daw4J4 40 4.c. ✓r]ovv, c ?I
ad 4-Ar hay.✓< GVC -Yhrre I. e m &tr-
Subdivision: Lot#:
will provide the labor on this structure.
(Contractors 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. AR work shall comply with the State Building Code and all
other applicable State and local laws, ordinances and regulations.
Contractor's Company Name Telephone
Address Email Address
License# ,,yv��
Structure Owner/Contractor Signature: 4C Mirt .ar.- Date: 7 -G -/ 7
By signing this application you affirm that you have obtained permission from the above listed 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
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 17-50041783 Date 7/06/17
Property Address 5520 MCDOUGALD RD
PARCEL NUMBER 13-0529- - -0020- - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Owner Contractor
MORRISON ALEX C & WIFE OWNER
MORRISON LENORA ANN
359 A C MORRISON ROAD
LILLINGTON NC 27546
Applicant
MORRISON A C
259 A C MORRISON
LILLINGTON NC 27546
(910) 893-5836
--- Structure Information 000 000 ELE RECONNECT ON BULK BARNS
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE ELE RECONNECT
WATER SUPPLY NA
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code . 1199140
Issue Date . . . . 7/06/17 Valuation . . . . 0
Expiration Date . . 7/06/18
Special Notes and Comments
T/S: 07/06/2017 12 : 02 PM JBROCK ----
TAKE MCDOUGALD TO A C MORRISON RD AND
THE BARNS ARE THERE IN THE CORNER
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 17-50041783 Date 7/06/17
Property Address 5520 MCDOUGALD RD
PARCEL NUMBER 13-0529- - -0020- - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1199140
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 / /