DOCUMENTS Application#
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: Uus+,O .3..Iserw is«...344wa.A Phone: .QC3•y9t 00 4 2-
Owner(s)Mailing Address: Sc2IL-eytnt is r►t.5 zn.
Guinan ..n. 24524
Land Owner Name(s): Sart a. Man. . Phone:
Construction or Site Address: 244 am-Taal La Greta ...e 24.42 4
PIN# Parcel#
Job Cost: Description of Work to be done WA-ma_ a-fe-re t sutra Lc.
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 X Number of Baths Water Heater
Specific Directions to Job from Lillington:
4luay 2. 4 (2a e. t• Loe..nrn San- APT Ra toterS 5'auD Coy c.•..r
• A.aes Fr,... T.N..t-7 STeaG-
Subdivision: Lot#:
I will provide the_ labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is ,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: a,1.,,. _C Date: L -P-t-0/P
By signing this application you affirm th ou have obtained permission from the above listed license holder to
purchase permits on their behalf. If doi 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 18-50044215 Date 6/08/18
Intersection
Property Address 240 BURTONS LN
PARCEL NUMBER 09-9575- - -0170- -01-
Application type description CP SEWER/WATER TAP
Subdivision Name
Property Zoning PENDING
Owner Contractor
TAHILRAMANI JUSTIN & OWNER
TAHILRAMANI JESSICA
265 KEYLOCK RD CAMERON, NC
CAMERON NC 28326
(253) 448-0662
Applicant
TAHILRAMANI JUSTIN &
TAHILRAMANI JESSICA
265 KEYLOCK RD CAMERON, NC
CAMERON NC 28326
(253) 448-0662
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc .
Phone Access Code 1246263
Issue Date . . . 6/08/18 Valuation . . . . 0
Expiration Date . 6/08/19
Special Notes and Comments
T/S: 06/08/2018 12 : 09 PM JBROCK ----
240 BURTONS LN OFF OF 24-27
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 18-50044215 Date 6/08/18
Property Address 240 BURTONS LN
PARCEL NUMBER 09-9575- - -0170- -01-
Application description . . CP SEWER/WATER TAP
Subdivision Name
Property Zoning PENDING
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc .
Phone Access Code 1246263
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 / /