BLDG APP OW09111 Application#
Harnett County Central Permitting
Each eaceon bebwbbe Niad alPO Box bb Wootton NCn nue
by whomever p�ormmgi ma
910 eee'rb2b Fax 910 9&7 2793 www Naafimg/petals
Must be s*or honed
f°nbito, Address oomwro Application for Rnidenbal Building and Trades Perm
name&phone must maG
math
Owners Name Dale
Site Address Phone
Directions to job site from Lillington
Subdivision Lot
Description of Proposed Work /Jell C essskort.r.8-t0b #of Bedrooms
Heated SF Unhealed SF Finished Bonus Room') Crawl Space Slab
General Contractor Information
Weave.. Haw-c3 .lino Cite—C.30 '?roo
Building Contractors Company Name Telephone
3 5a L`t45h.A/6t CJ,rl e,r Coy.cj444 ,vL 28363 OA falI I. c.l
Address Email Address
75-4'7
License#
Electrical Contractor Information
Description of Work VOW-) Service Size Amps T-Pole No
3'aw
Cas pc, 2,le.k'. — 84o— yaca
Electrical Contractors Company Name Telephone
t'loy C-LiAlros, 5T. Scn Fart IAA- 2 fl
Address Email Address
Q 13Z�
License#
Mechanical/HVAC Contractor Information
Description of Work u LLA)
M ow. MtssLGFrLet. V.- a9i—dyrib
Mechanical Contractors Company Name Telephone
Li12 La a.( Pirtc.va.L, tie. ( 0"0.41M L aTYot/
Address Email Address
3100 c
License#
plumbina Contractor Information
Description of Work to r-w #Baths
a.w,-• 'SO4waoc„Vi ,,,rl 4 [o - 8yy -77os"
Plumbing Contractors Company Name Telephone
rut, lea . !to,A Cc. 2.2,3 23
Address Email Address
11 U- r-i
License#
Insulation Contractor Information
.I.YtSLtk A+F1,1ti , r..r_. `elf- 770 /
Insulation Contractors Company Name 8 Address Telephone
*NOTE General Contractor must fill out and sign the second page of this application