DOCUMENTS UD Application# I soOt4 u ac1
SLICu
Harnett County Central Permitting
PO Box 65 Lillington,NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - w.aw.hamett.orglpennits
Certification of Work Performed By Owner/Contractor
1 (Individual Trade Application) //
Owner(s)of Structure: �lh€RR1 /I G. MOI�,q )1,0 Phone( - �1' 7
Owner(s)Mailing Address: JJ
Land Owner Name(s): SEIeRR /// G A'IOR911n/ Phone: CHCS - 36V/5 7
Construction or Site Address: I5 c( C OH7PS Rd, L /Africa , Al. C . a$ 36(o
PIN# Parcel#
Job Cost: Description of Work to be done 1-1/4...0 attar
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
omers we need the premise number
Plumbing: ter ewer Tap ✓ Number of Baths Water Heater
Specific Directions to Job from Lillinoton:
Subdivision: Lot#:
will provide the Y{(' labor on this structure.
(Contractors Name) (T e)
I am the building owner or my NC state license number is CW( .a.r- ,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.
it k- _
Co _ l 5 �
Contractor's Company Name Telephone
Address Email Address
License#
Structure Owner/Contractor Signature: 0r.et uC�—'J J}i'' t Date: II - 9-F )7
By signing this application you affirm that 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 17-50042829 Date 11/29/17
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application type description CP SEWER/WATER TAP
Subdivision Name
Property Zoning UNZONED
Owner Contractor
MORGAN SHERILL G OWNER
154 COATES RD
LINDEN NC 28356
(910) 303-8157
Applicant
MORGAN SHERRILL G
154 COATES RD
LINDEN NC 28356
(910) 303-8157
--- Structure Information 000 000 HOOK UP WATER TAP
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc .
Phone Access Code 1220201
Issue Date . . 11/29/17 Valuation . . . . 0
Expiration Date . 11/29/18
Special Notes and Comments
T/S: 11/29/2017 10 : 37 AM JBROCK ----
401 S THUR BUNNLEVEL R ON JOSEPH
WILLIAMS RD
AT STOP SIGN L ON WIRE RD CROSS BRIDGE
L ON
COATES RD 154 ON R
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 17-50042829 Date 11/29/17
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 1220201
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 307 P307 R*PLUMB WATER CONNECTION / /