DOCUMENTS Application#_Ar g:LIC) t
,t1\1111 Harnett County Central Permitting
• PO Box 65 Lillington,NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - www.harnettorg/permits
Certification of Work Performed By Owner/Contractor
g
(Individual id—
, Trade Application)
Owner(s)of Structure: \n ,�,ty,`�--�./ �R Phone:
Owner(s)Mailing Address: / / A"/Lk C Utl/' cry. L. ,
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Land Owner Name(s): /.ILLI[_ Z , . do/ ✓ n Phone: qio-SN-d1to
Construction or Site Address: // e
PIN#h4k�.e6C) ( ' l»U Parcel # t2- C614 Le bO ?
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Job Cost: q�p Description of Work to be done Vt-Cog--L1") LA3
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 cus ers we need the premise number
Plumbing: Water/Sewer Tap Number of Baths Water Heater
Specific Directions to Job from Lillinaton:
Subdivision: �,� Lot#:
.(JAY
will provide the T�-+'� —" ' labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is O__L .1rrwhich 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: `�'j,(//� itwDate: 2si`^ ,27 17
By signing this application you affirm that you have obtairldd per fission 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
17-50042641 Date 10/27/17
Intersection 91749 TECH 2
Property Address _ _
PARCEL NUMBER
Application type description CP SEWER/WATER TAP
Subdivision Name UNZONED
Property Zoning
Owner Contractor
ZEBULON BETTY OWNER
91 HICKS WILLIAMS LN
BUNNLEVEL, NC 28323
BUNNLEVEL NC 28323
(910) 514-9805
Applicant
ZEBULON BETTY
91 HICKS WILLIAMS LN
BUNNLEVEL, NC 28323
BUNNLEVEL NC 28323
(910) 514-9805
--- Structure Information 000 000 HOOK UP WATER TAP
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc .
Phone Access Code 1216373 Valuation 0
Issue Date . . 10/27/17 .
Expiration Date . 10/27/18
Special Notes and Comments
T/S: 10/27/2017 12 : 36 PM JBROCK
FROM LILLINGTON 401 TO MCLEOD CHAPEL
CHURCH RD MAKE R ON RAYNOR MCALAMB RD
RD GO DOWN PAST FAITH CHURCH TURN ON
HICKS WILLIAMS RD GO TO 91 HICKS
WILLIAMS 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 17-50042641 Date 10/27/17
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 1216373
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