DOCUMNETS Application# +Q 1"1n
v1,1 Harnett County Central Permitting I ri C
PO Box 65 Lillington,NC 27546 - Ph:910-893-7525 - Fr 910-893-2793 - www.hamett.org/permits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
Owner(s)of Structure: 415 (,t�Y ( ri�I� Phone: (
9 I(1)q.127 1 — 3311
Owner(s) Mailing Address: 3C Ct1c 14d'
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Land Owner Name(s): 1? I raj `1��'}S Phone:
Construction or Site Address: 3 0 Be` f S (HCl
PIN# h�jL/O;�S� I ' Th .dY�arcel# DS ti-DU4L,Q (� ,n )I �
Job Cost:1000 Descriptionof Wyk to be done V t 406 lJw � p 7e.Y vr1 CC @I�
IN La sheik
Mechanical: New Unit With Ductwork New Unit Without Ductwork_ Gas Piping_Other_
Electrical*: 200 Amp_<200 Ample/
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 Lillin•t• : -
(Lyl I . e •�/ 4 }
Subdivision:
'/,�n / Lot#:
!Meal') �fld' V IL—will provide the Cif, ,1 4n( (J.�1 labor on this structure.
(Contractors Name) y�(Trade)
I am the building owner or my NC state license number is 5M% 0 adL- ,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.
7
'ells cAtrutlit q;g /6")/41
o tga�) is Company 4Name Telephone
� Coti ICYr/l rravl5 z) ea Wqinseltzine. cw
Adrept, Email Address
L
License#
Structure Owner/Contractor Signature: p I Date: SSI I ( C
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, 8 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 17-50041971 Date 8/01/17
Property Address 30 BETTS RD
PARCEL NUMBER 05-0646- - -0014- - -
Application type description CP STANDALONE TRADE - COMMERCIAL
Subdivision Name RICKY CLAYTON BETTS
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
BETTS BETTY G DAWSONS ELECTRIC INC
30 BETTS RD 609 COTTON ROADRD
HOLLY SPRINGS NC 27540 FUQUAY-VARINA, NC 27526
FUQUAY-VARINA NC 27526
(919) 201-3841
Applicant
DAWSON ELECTRIC
609 COTTON RD
FUQUAY-VARINA NC 27526
--- Structure Information 000 000 WIRE 400 AMP SERVICE & SHELTER
Other struct info PROPOSED USE ELE
Permit COMMERCIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1202977
Issue Date . . . 8/01/17 Valuation . . . . 4000
Expiration Date . 8/01/18
Special Notes and Comments
T/S: 08/01/2017 11: 58 AM JBROCK ----
TAKE 401 TOWARDS FUQ-VAR L ON CHRISTIAN
LIGHT & THEN A L ON BETTS RD GO TO 30
BETTS 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 17-50041971 Date 8/01/17
Property Address 30 BETTS RD
PARCEL NUMBER 05-0646- - -0014- - -
Application description . . CP STANDALONE TRADE - COMMERCIAL
Subdivision Name RICKY CLAYTON BETTS
Property Zoning RES/AGRI DIST - RA-30
Permit COMMERCIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1202977
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 / /_