BUILDING Application # /1,729 ,72 2 C 0,61 C
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
910- 893 -7525 Fax 910 - 893 -2793
www.harnett.org/permits
Certification of Work Performed By Owner /Contractor
(Individual Trade Application)
Owner (s) of Structure: l ei:/ //f/r r L /VP/- e 6c a (7 XPhone: f/D ,Z &6d_5
Owner (s) Mailing Address: £C �` 17/ 'Z'f t—r I/Va A✓C X 750/
Land Owner Name (s): Phone:
Construction or Site Address: fs/UF¢7h`Er�'5,- !% Acw /47Z 4'r .2 720/
PIN or Parcel # from GIS: i
•
i
Job Cost: Description of Work to be done . , ��- t _
Mechanical: New Unit With Ductwork _ New Unit Without Ductwork —
Gas Piping
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 Lillinoton:
Subdivision: Lot #:
I 4 y 011//J/. will provide the 4/4 labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is ,44 'ye,,- , 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.
Structure owner(s) signature:���� .�,` /7/
Date: /O2 -d 7- //
Company Name: Phone:
Address: County:
Contractor's License #: Email Address:
Contractor's Signature: Date:
*Company name, address, & phone must match information on license.
Individual Trade Application 1 of 1 06110
Pow
Plan Box Number C .e Job Name �,. o R
Date: I_1Er_ I (
Required Inspections for SFA/SFD
Appl. # 1 \ — s 6 o ZS-2g <
Valuation 2LI 3 6
Sq. Feet - L -a
Sequence
10 , j R* Bldg. Footing
10 -30 R* Elec. Temp Service Pole
20 R* Building Foundation
20 Address Confirmation
30 -999 Open Floor
30 -999 R* Bldg. Slab Insp.
30 -999 R* Elec. Under Slab
30 -999 R *Plumb. Under Slab
40 Four Trade Rough In
40 Four Trade Rough In> 2500
40 Three Trade Rough In
40 Three Trade Rough In> 2500
40 Two Trade Rough In
40 Two Trade Rough In> 2500
40 One Trade Rough In
40 One Trade Rough In > 2500
50 R* Insulation
60 Four Trade Final
60 Four Trade Final > 2500
60 Three Trade Final
60 Three Trade Final > 2500
60 i / Two Trade Final
60 Two Trade Final > 2500
60 One Trade Final
60 One Trade Final > 2500
999 Envir. Operations Permit