DOCUMENTS Application# ) r7 s cal oZ�2S
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - www.harnett.org/permits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
Owner(s)of Structure: 7.Z.2.0447 44'ra LI,,, <4 rwq r i- Phone: 0/0- 9?/-.:1424//20 -c-c - twos-
Owner
'4rOwner(s) Mailing Address: /5 c c41 / 4-4„<,n .
1tt1� Z �33y
Land Owner Name(s): T e.,47 I-4441' , cd-cc .r L- Phone:gi�/ryr.rve>/9ec
Construction or Site Address: 75-"Z Skt.or4 Anc ,P • "tl,.,4�( N c- /
PIN# X511 � ' 4c/'7/'OLy�Parcel # ow VJJifl DI D ?
Job Cost: Description of Work to be done t)4et eine.
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 cu tamers we need the premise number
Plumbing: Water/Sewer Tap Number of Baths Water Heater
Specific Directions to Job from Lillington:
-47/ 4N✓17 yji✓..dgwivcv.. /rr Cy&a,/n f,i.,.H,PJ .tZ,,.w„/ �.,... .
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Subdivision: Lot#:
I 2k7rg Silra,o-/- will provide the n�+rsa 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. All 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#
Structure Owner/Contractor Signature: -re: 4' Date: 9'/G-2a/7
By signing this application you affirm th- 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 17-50042283 Date 9/18/17
Intersection
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application type description CP SEWER/WATER TAP
Subdivision Name
Property Zoning UNZONED
Owner Contractor
STEWART TIMOTHY BROOKS & OWNER
STEWART HEATHER BROOKS WIFE
153 STEWART MASON DR DUNN, NC
DUNN NC 28334
(910) 891-4429
Applicant
STEWART TIMOTHY BROOKS &
STEWART HEATHER BROOKS WIFE
153 STEWART MASON DR DUNN, NC
DUNN NC 28334
(910) 891-4429
--- Structure Information 000 000 HOOK UP WATER TAP
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc
Phone Access Code 1209378
Issue Date . . . 9/18/17 Valuation . . . . 0
Expiration Date . 9/18/18
Special Notes and Comments
T/S : 09/18/2017 10: 11 AM JBROCK ----
421 TO NC 27 TOWARD BENSON TURN R ONTO
FAIRGROUND RD TOWARD DUNN STEWARD MASON
DR IS ON LEFT
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 17-50042283 Date 9/18/17
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 1209378
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 / /