DOCUMENTS / RECEIPT .. _—
Oct. 20. 201718:4FAM_CAROLINA COMFORT AIR No 4038_P. 1
\o as I L 1 Application# � SOOc1I QOa
Harnett County Central Permitting
PO Box 85 Lillinglon,NC 27546 • Ph:910.893-7625 - Ex:810-893-2783 - wew.hemettorg/permits
Certification of Work Performed By Owner/Contractor
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Trade Application) 'n 7���
Owner(s)of structure(5i2i el3. (9th4 4 ( oyort 1(N Phone:q W -Y4-S -1244
Owner(s)Mailing Address: P✓ I((AV 61u/k tJ
4 Jo
Land Owner Name(s): JL.I _ V emir& Phone: '' JAM I
Construction or Site Address:
PIN#959(0-IC/ - LL f16O Parcel# .3 5q'1 -
11110_
Job Cost: 1.5ll1) Description of Work to be done glAnrilir0r, I. 1; 1 ��rYYV
nh A " I r IA La:. IO .../.d Lit , GIl t�
ID l 1117 Le k rood, PM, Pere a1fl L
Mechanical: New Unit With Duchwark ew Unit Without Ductwor Gas Piping_Other
Electrical.: 200 Amp <200 Amp x_Service Change ReconneclXr Other_
•For Progress Energy customers we need the premise number
Plumbing: Water/Sewer TapNumber of Baths Water Heater_
Specific Directions to Job from Lillinoton:
Subdivision: Lot#:
I� yol kv-ryrry��1 II ,� � 1 �����A
/11�f�1J'i/L .)ll myi nurpr�l*iOg the MI t-1 'f"A. t labor on this structure.
(Contractors Name) (T de)
I am the building owner ar my NC state license number is which entitles me to
perform such work on the above structure legally. All work shall co ply with the State Building Code and all
other applicable State and local laws,ordinances and regulations,
eCutiim, C1 Fir, (lit , q161-5(1)-7211 •ea (a3
Contractor's Compary Name Te ephone
b2iz us .hnt� Flo bis h1 Clain , Li a.P LJn'ir 4 rr,cot7
Addlesyl l511n6-1__ Emelt Address
License# te—�'' �'-,n�,/'\\1) /n
Structure Owner/Contractor Sign: ure: iiiirei ' ,/!JIX_/ Date: /0 r9e /7
By signing this application you are hat yu have obtained permission from the above listed cense holder to
purchase permits on their behalf, If dol • a 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 17-50042600 Date 10/23/17
Intersection
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - _ -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Owner Contractor
GALLEY GARY RICHARD & GALLEY CAROLINA COMFORT AIR INC/CLAYT
GEORGANN PO BOX 190
16 MICRO COURT BROADWAY, NC CLAYTON NC 27520
BROADWAY NC 27505 (919) 550-7711
(919) 343-1240
Applicant
GALLEY GARY RICHARD & GALLEY
GEORGANN
16 MICRO COURT BROADWAY, NC
BROADWAY NC 27505
(919) 343-1240
--- Structure Information 000 000 HVAC CHANGE OUT
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE MECH / ELE
WATER SUPPLY UNKNOWN
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1215573
Issue Date . . . 10/23/17 Valuation . . . . 0
Expiration Date . 10/23/18
Special Notes and Comments
T/S : 10/23/2017 08 : 13 AM JBROCK ----
16 MICRO CT
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 17-50042600 Date 10/23/17
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc
Phone Access Code 1215573
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 409 M409 R*GAS PIPING / /
999 407 M407 R*MECH ABOVE CEILING _/_/
999 405 M405 R*MECHANICAL UNDERGROUND / /
999 131 R131 ONE TRADE FINAL / /
999 125 R125 ONE TRADE ROUGH IN / /
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