DOCUMENTS P31 5] IS- Application#)5( SDI:31-t j4 )
l 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 Trage,ARp ation)
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Owner(s)of Structure: a C3( -., W C Phone:
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Owner(s) Mailing Address: y MI ,Dy, /Ck , /(� (�
Land Owner Name(s): R 7)LC) Phone: ii
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Construction or Site Address: —1 D /D II-O A / ,'//'_ qq 'ID/� , w,,a ,
PIN# Qyr1 -Q I-B' 7. 00) Parcel# 0 4Sc3 fl
Job Cost:(7. 00 'baescription of Work to be done '.vc)e Cp, RQ CO td '1 ed
—
Mechanical: New Unit With Ductwork_ New Unit Without Ductwork_ Gas Piping Other
Electrical': 200 Amp <200 Amp_Service Change Service Reconnect t Other
'For Progress Energy customers we need the premise number
Plumbing: Water/Sewer Tap Number of Baths Water Heater
Specific Directions to Job from Lillinoton:
Subdivision: Lot#:
I will provide the Fie. e,f '7Z°/9- ( labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is a pot '7 *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.
7vnmpe /Whirr R/eri, 91 R- ` ii- d - 9 8I 7
C ntractor's Company Name e Telephone
1;> T:nil La SAAn 4?a cJVie .
Address 1 i____--- Email Address
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License#
Structure Owner/Contractor Signature: 78 c/•
761 Date:a— -S— !..
By signing this application you affirm that you have obtained permis n 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
Application Number 18-50043463 Date 3/05/18
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Owner Contractor
RD HOME SALES INC TRADE MARK ELECTRIC
3614 LYNN RD RALEIGH, NC 27613 8 TIM LANE
RALEIGH NC 27613 SANFORD NC 27332
(919) 842-9899
Applicant
DOW RODNEY
3614 LYNN RD RALEIGH, NC 27613
RALEIGH NC 27613
--- Structure Information 000 000 SERVICE RECONNECT
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE ELE
WATER SUPPLY UNKNOWN
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1232206
Issue Date . . 3/05/18 Valuation . . . . 0
Expiration Date . 3/05/19
Special Notes and Comments
T/S : 03/05/2018 02 :37 PM JBROCK ----
90 OTTO LN LILLINGTON NC 27546
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 18-50043463 Date 3/05/18
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1232206
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 _/_/_
HARNETT COUNTY CASH RECEIPTS
mme CUSTOMER RECEIPT 0*
r: 1
Date: MOCTe:
52 Receiptp7
no: 275161
Year Humber Amount
2018 50043463
91749 TECH 2
LILLINGTON, NC 27546
01 DP - PERMIT FEES
460.00
ELE PERMIT
GRAHAM TAYLOR
Tender detail 460.00
CP CREDIT CARD 460.00
Total tendered 460.00
Total payment
Trans date: 3/65/16 Time: 14:39:12
mt THANK YOU FOR YOUR PAYMENT **