TRADE Application # 1 / Z 6J • i 7
Harnett County Central Permitting -7 y -c /79 Z
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: 37rrm ! 1 -. y u,r Phone: '19,t -5t
Owner (s) Mailing Address: 11&21 14 4 ,d 4 r 5
r s f
fltq�s4a) LM( - , Mr a- )5,21(
Land Owner Name (s): / Phone:
Construction or Site Address: 'Jqf srr,' jS � n1 2'7t44r;
PIN or Parcel # from GIS: / J 12. 4 90L
•
Job Cost: Description of Work to be done
Mechanical: New Unit With Ductwork New Unit Without Ductwork Gas Piping
Electrical': 200 Amp <200 Amp T Service Change Service Reconnect Other
* For Progress Energy ust rs we need the premise number
Plumbing: Water /Sewer Tap Number of Baths Water Heater
Specific Directions to Job from Lillington:
.Ja . /.. Lin/ ! Ar:St�n.. / j I-,Y i LJAr. (t Ida) 9,2 / .jn,n1
'f1 rn. -,f:/ Yo,. . / M! . . _ G r . / - _
i .-r4 '... 9 41-m if 4,,,f_
Subdivision: Lot #:
//JJ
✓v`"/7e/r will provide the labor on this structure.
(Contractors Name) (J rade)
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.
Structure owner(s) signature: .,fir tom Date: ; /,
C '
Company Name' Phone:
Address: ounty:
Contr or's Licen - #: :mail Addr -: :
ractor's Signa re: .1r Date:
*Company name, address, & phone must match information on license.
Individual Trade Application 1 of 1 06!10
i 1 pri�lroff
..s 75Tpp g
i FOR W66 1'BE Y ES NRR OF DEEDS C O UNTY
1 RC:108.111 REE,S20.00
NC REV STM1138 V gel PR
t t.,0 NTY TAX 1pa BK :2461 BB
.,, I 5-7-c— NSW J fofi iast
11 zi :. VT
T H s ' OLINA GENERAL WARRANTY DEED •
Excise Tax: S 38.00
Parcel identifier No, by Comely on the day of , 20
By,
Mail/Box to: GRANTEE
This bistrunrut was prepared by: Will b . . .., 1 t 1 a t. Albans Drive, Ste, 140, Raleigh, NC 27609
Brief desaiDtlon for the Index: LT 3, 1.00: •
THIS DEED made this 28th day of November , 20 _03, • ' sod
GRANTOR
erem D. Taylor, unmanriied
Dawn Clark Thomas, unmarried L��� 52 -: Leiden Lane
�IL• E1 1 ,, 027606
14L;11 J1 Spr,013S,lv(„ airs / ti ( V
gluedeaignation Grantor and Grantee as used herein shall include said . < r_,, • r . and assigns, and dull Include
Spier, plural, masculine, feminine or neuter as required by context.
WrIWASSS1' 1f, tag the Grantor, for a valuable consideration paid by the Grantee, t ' .. . ,..: hereby acianededged, has
and by dune present does grant, bargain, seill and oonveyunto the Grantee in foe •• • i „ •,� .,�� pucel
m die City of Holly Springs , Township, ;. ..,, ,NorthCwolfaaand
more particularly descn'bed as Wows: law
SEE ' ATTACHMENT
The property hereinabove descs' bed was ac by Omuta by instrument recorded in Book y .- i . •
A map showing the above derailed property is recorded in Plat Book 2000 p age 63
NC Bar Association Penn Na L-3 0 1976, Revised 0 1977, 2002
Printed by Agreement with the NC Bu Association —1961 SoftPro Ccaporatton, 333 E. Sir Forks Rd., 2
if