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DOCUMENTS \R);\ Application# . RSa�t.(3a teR T� 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) Owner(s)of Structure: . A «(l © ¢9 °\ n Cone: 3)g1- 47�f`-n/1 37 Owner(s)Mailing Address:.ST�33.7 Land Owner Name(s): fix' n CI .L oY\\ G_Lly(�ll� -Ila�7 Construction or Site Address: 50 l) PDvf�1A04 rysc 2r4 �vlTt <-f w / PIN# Ci Sj g - 3�.— 19-1 n •O 'arcel# O Set c4. o,Z CtA.tr3O a Job Cost: Description of Work to be done V bo\L uci LADG . 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 customers we need the premise number Plumbing: Water/Sewer Tap / Number of Baths Water Heater Vi S.ecific Direction to Job from Lillin•tonT0.ke a 1 -F %EQ Ctvuc_II Rd Sag¢ O Cr 'E m c1> n �t�a L`l vrn c \ 9-Pr 4 #, `St?11Sk+ \ c nc p �e�l ' cxFo 1Lrl +n t' e 1Q-?+-lei n Ani,-.40r; .sa ,ccc\1 nn P- 5\ maroe. e3 3 Ic&a Subdivision: ,, • Lot#: will provide the `T labor on this structure. (Contractors Name) (Trade) I am the building owner or my NC state license number is l\L.._(\Q_ 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. Contractor's Company Name Telephone Address Email Address License# `` \\ r1 Structure Owner/Contractor Signature. QW1GY\ Date: O-6- /$ 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 properly 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 Application Number 18-50043262 Date 2/08/18 Property Address 5067 PONDEROSA RD PARCEL NUMBER 09-9568- - -0018- -02- Application type description CP SEWER/WATER TAP Subdivision Name Property Zoning RES/AGRI DIST - RA-20R Owner Contractor DONITHAN SUSAN OWNER 5067 PONDEROSA RD SANFORD, NC 27332 SANFORD NC 27332 (919) 478-1637 Applicant DONITHAN SUSAN 5067 PONDEROSA RD SANFORD NC 27332 (919) 478-1637 --- Structure Information 000 000 HOOK UP WATER TAP Permit RESIDENTIAL PLUMBING PERMIT Additional desc . Phone Access Code 1228014 Issue Date . . . 2/08/18 Valuation . . . . 0 Expiration Date . 2/08/19 Special Notes and Comments T/S: 02/08/2018 11 : 09 AM JBROCK ---- 5067 PONDEROSA RD HARNETT COUNTY CENTRAL PERMITTING P.O. BOX 65 LILLINGTON, NC 27546 For Inspections Call: (910) 893-7525 Fax: (910) 893-2793 Page 2 Application Number 18-50043262 Date 2/08/18 Property Address 5067 PONDEROSA RD PARCEL NUMBER 09-9568- - -0018- -02- Application description . . CP SEWER/WATER TAP Subdivision Name Property Zoning RES/AGRI DIST - RA-20R Permit RESIDENTIAL PLUMBING PERMIT Additional desc . Phone Access Code 1228014 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 / / HARNETT COUNTY CASH RECEIPTS mma CUSTOMER RECEIPT ams Oper: JBROCK Type: CP Drawer: 1 Date: 2/08/18 52 Receipt no: 244813 Year Number Amount 2018 50043262 5067 PONDEROSA RD SANFORD, NC 27338 RI BP - PERMIT FEES PLUMBING PERMIT $40.00 SUSAN DONITHAN Tender detail CA CASH PAYMENT 848.88 Total tendered $40.00 Total payment 448.80 Trans date: 2/08/18 Time: 11:13:39 mm THANK YOU FOR YOUR PAYMENT **