DOCUMENTS L . .. .. .._-
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Application# �f scimur-tas73 •
Harnett'County Central Permitting
PO Box 65 Lillington,NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - www hamett.org/permits -
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
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Owner(s)of Structure: Tern Whitley Phone:9194998539
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Owner(s)Maiiing Address:217 Winterlocken Drive
Sanford NC 27330
Land Owner Name(s): Terri Whitley Phone:9194996539
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Construction or Site Address:27 Crestview Place Spring Lake NC • •
PIN# Parcel#
Job Cost: $5000 Description of Work to be done electrical;re wire the home
Mechanical: New Unit With Ductwork_ New Unit Without Ductwork_ Gas Piping Other
Electrical*: 200 Amp 1 <200 Amp Service Change Service Reconnect_ Other_
*For Progress Energy customers we need the premise number
Plumbing: Water/Sewer Tap Number of Batns Water Heater
Specific Directions to Job from Lillington:
Subdivision: Lot#:
George Baker will provide the electrical labor on this structJre.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is 17758-L ,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.
GEB ELEC 9194996013
Contractor's Company Name Telephone
431 Aliens Lane Sanford NC 27330
Address Email Adoress
17758-L
License#
Structure Owner/Contractor Signature. 1A--))1,titi-a-•� Date:9/4/2017
By signing this application you affirm that you have obtained permissiS 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, & 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 17-50042813 Date 11/27/17
Property Address 27 CRESTVIEW PL
PARCEL NUMBER 01-0504- - -0045- - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning RES/AGRI DIST - RA-20M
Owner Contractor
DEUTSCHE BANK NATIONAL TRUST G E B ELECTRIC
F/K/A/ BANKERS TRUST CO 431 ALTONS LN
PO BOX 1093 SANFORD NC 27330
ERWIN NC 28339 (919) 499-6013
Applicant
WHITLEY TERRI
217 WINTERLOCKEN DR
SANFORD NC 27330
(919) 499-8539
--- Structure Information 000 000 RE-WIRE HOME
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE RE-WIRE
WATER SUPPLY UNKNOWN
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1219864
Issue Date . . . 11/27/17 Valuation . . . . 0
Expiration Date . 11/27/18
Special Notes and Comments
T/S : 11/27/2017 01 :43 PM JBROCK -- - -
27 CRESTVIEW PL
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 . . . . . 17-50042813 Date 11/27/17
Property Address 27 CRESTVIEW PL
PARCEL NUMBER 01-0504- - -0045- - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning RES/AGRI DIST - RA-20M
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1219864
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 211 E211 R*ELEC ABOVE CEILING / /_
999 217 E217 R*ELEC RECONNECT _/_/_
999 205 E205 R*ELEC UNDER SLAB _/ /_
999 215 E215 R*ELEC. UND. POOL _/_/_
999 213 E213 R*ELECTRICAL UNDERGROUND _/_/_
999 131 R131 ONE TRADE FINAL / /_
999 125 R125 ONE TRADE ROUGH IN / /
}
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Harnett Planning FOS
168 E Front Street
Lillington NC 27546
Telephone: 918- 893-7525 t
*** SALES SUP 4**
Oper: JBROCK Type: CP Drawer: 1
Date: 11/27/17 52 Receipt no: 162595 t
Merck ID #; Seq no. 5287766
Cross ref#: 1882
Card no: ************6744
83334818
Card type: VISA CARD
Auth code: 863989
Date: 11/27/17 Tire: 13:45:52
Payment total: $88.88
CARDHOLDER ACKNOWLEDGES RECEIPT CF GOODS
AND/OR SERVICES IN THE AMOUNT OF THE
TOTAL SHOWN HEREON AND AGREES TO PERFOR6
THE OBLIGATIONS SET FORTH IN THE CARD-
HOLDER'S AGREEMENT WITH THE ISSUER.
PH/Signature• rQ) _�
J i
HARHETT COUNTY CASH RECEIPTS
*** CUSTOMER RECEIPT ***
Oper: MOCK Type: CP Drawer: 1
i Date: 11/27/17 52 Receipt no: 162595
i
Year Number Amount
27 CRESTVIEW58P�813
SIRING LAKE, NC 28398
BP - PERMIT FEES
ELE PERMIT $88.88
TERRY WHITLEY
Tender detail
CP CREDIT CARD $98.86
Total tendered ,i
i Total payment $88.88 j
$88.88
Trans date: 11/27/17 Time: 13:45:52
j ** THANK YOJ FOP YOUR PAYMENT **
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