DOCUMENTS SI
a1 ` U Application# 1 U, 3--OU-3-O_T--f
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: )ie )c Hy160/1 Phone:
''"�" /0—Zh3-0 74/7il
Owner(s)Mailing Address: 7011// TS)/ hde Dunn k 7133
Land Owner Name(s): `t1JCCVIC l}. 1.ifunt+C Phone: 9/O-ZE, T- 674/9
Construction or Site Address: Wo33 d'UC- 484,6 y SS �a Sf
PIN# 6sq8-Cttl-$Loco? 'o0') parcel# //d'' 1 W 79 Oms
Job Cost: Description of Work to be done Y QQ -�.✓���
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
Specific Directions to Job from Lillington:
Subdivision: / / Lot#:
I i?/z/�i.Ac/n L., %P ml will provide the Vete/ z' al labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is I:A-l.A- ,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#
Structure Owner/Contractor Signature: L Date: 3-z 7-/1•
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, & 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 18-50043659 Date 3/27/18
Property Address 4033 NC 55 E
PARCEL NUMBER 07-0589- - -0175- - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
WILLIAMS YVONNE LEA OWNER
2044 ASHE AVE DUNN, NC 28334
DUNN NC 28334
Applicant
WILLIAMS YVONNE LEA
4033 NC 55 E DUNN, NC 28334
DUNN NC 28334
--- Structure Information 000 000 ELE POLE FOE COW FENCE
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE ELE
WATER SUPPLY UNKNOWN
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code . 1235902
Issue Date . . . . 3/27/18 Valuation . . . . 0
Expiration Date . . 3/27/19
Special Notes and Comments
T/S : 03/27/2018 02 : 53 PM JBROCK ----
4033 NC 55
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 18-50043659 Date 3/27/18
Property Address 4033 NC 55 E
PARCEL NUMBER 07-0589- - -0175- - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning RES/AGRI DIST - RA-30
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1235902
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
REPRINT
rwa CUSTOMER RECEIPT mmc
Oper: JBROCK Type: CP Drawer: 1
Date: 3/27/18 52 Receipt no: 299831
Year Humber Amount
2018 58843659
4833 NC 55 E
DUNN, NC 28334
81 BP - PERMIT FEES
ELE $80.08
JOE JOHNSON
Tender detail
CA CASH PAYMENT 3100.00
Total tendered $100.00
Total payment $00.80
Change $20.e0
Trans date: 3/27/18 Time: 15:10:54
** THANK YOU FOR YOUR PAYMENT **