DOCUMENTS \14 i a. Application# I U UL•CS44aD
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - www.hametl.org/permits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
Owner(s)of Structure: Ifact y t- JrL... e.., Phone: SI F-YSY -S7 Y0
Owner(s)Mailing Address: S Yo AAo.."4 1.1;144 Dr L%ICAs r •iC
Land Owner Name(s): T/.c.-j/y F 30t. arm..., Phone: 919- 959- S7Vo
Construction or Site Address: 5 70 Nwni I/h4< De. CIPA rrr.. fVG
PIN# bstri - 3a- 14x)l•bQo Parcel# N t743( 0 Dbacis a3
Job Cost: Description of Work to be done PS\2 -"rlca
.Sce XNS2 R--. Gra I. . x Ai._
Mechanical: New Unit With Ductwork_ New Unit Without Ductwork_ Gas Piping_Other
Electrical': 200 Amp ✓00 Amp-Service Change- Service Reconnect- Other—
'For Progress Energy customers we need the premise number
Plumbing: Water/Sewer Tap Number of Baths Water Heater
S ecific Directions to Job from Lillin ton:
i smzs.lr
CYY c - mor.,r
Subdivision: C Lot#:
I will provide the Z&' -4-- 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.
nide Ekrkkal TA,. Ql - 333- 1330
Contractors Company Name Telephone
219 Cog o11 >F. Vat' Feres4- r .vc
Address Email Address
31010-tx
License#
Structure Owner/Contractor Signature: Date: 1/, 11
By signing this application you affirm that you have obtained permission from the above tested license holder to
purchase permits on their behalf. I 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 18-50044266 Date 6/14/18
Intersection
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Owner Contractor
BROWN JOSHUA & BROWN TRACEY DNE ELECTRIC ALL
655 CHRISTIAN LIGHT RD FUQUAY 7809 OLD US HWY 421
VARINA, NC 27526-4283 LILLINGTON NC 27546
FUQUAY-VARINA NC 27526 (919) 333-1330
(919) 454-5740
Applicant
BROWN JOSHUA & BROWN TRACEY
655 CHRISTIAN LIGHT RD FUQUAY
VARINA, NC 27526-4283
FUQUAY-VARINA NC 27526
(919) 454-5740
--- Structure Information 000 000 ELE SERVICE FOR HORSE FENCE & WELL
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE ELE
WATER SUPPLY WELL
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1247071
Issue Date . . 6/14/18 Valuation . . . . 0
Expiration Date . 6/14/19
Special Notes and Comments
T/S: 06/14/2018 08 : 50 AM JBROCK ----
540 MOUNT VISTA DR OFF OF DARROCH
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 18-50044266 Date 6/14/18
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 1247071
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 //
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HARNETT COUNTY CASH rtLna'u
rex CUSTOMER RECEIPT ***
Oper: IOROCK Type: CP Drawer: 1
Date: 6/14/18 52 Receipt no: 390215
Year Number Amount
2018 50044266
91749 TECH 2
LILLINGTON, NC 27546
61 BP -- PERMIT FEES
460.00
ELE PERMIT
TRACEY BRUNN
Tender detai'.
CP CREDIT CARD 460.00
Total tendered t60.20
Total payment $60.80
Trans date: 6/14/18 Time: 0:52:25
** THANK YOU FOR YOUR PAYMENT **