TRADE Application* /1 5 -17P 242 / g
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 Court, /I-oy Phone Vo 39/ 5457
Owner (s) Mailing Address / 4. A �+ an � y
44i C 02133 a
Land Owner Name (s)AMIF. Phone
Construction or Site Address
PIN or Parcel # from GIS 9996 54 -
Job Cost J Descnption of Work to be done G07lperf Rob/ /ne rit
/Nr g a7Jnq S /lit
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 Wa t ewer Tap ✓ Number of Baths _ Water Heater
Specific Directions to Job from Ldhnnton
- . . ,, G . ;.. _ ' . .ay • r - ft • _ _ go
'711-Ai Gccr , 6Afp gik/>'T a'/ib t4RdWNq 4/,4v
. #...- AV . / _ P ✓t •R,
Subdivision C.irre /in a. /a1<es Lotf 2
I ierA 5/4-74- will provide the 1 � , " labor on this structure
(Contractors Name) (trade)
I am the building owner or my NC state license number is 3 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 =n• local ws ordinances and regulations
Structure owner(s) signatu JP" Date 3 /
Company Name 64 ficrn 4-1- s <aa..c -c 5 Phone q 32 - 1 2 O
Address 9139 44.Wr r de 4 era ^v,4/ C County r,}n k t
Contractor's License # 3� 9 Email Address ea,Je..n / ;.rc » c.oeola� o.,
/ c
Contractor s Signature A,/ Date 3/1 %//
Company name address & phone must match information on license
Individual Trade Apphcati 1 of 1 06/10
1611. 11011111/111
an r :p l OF MEN
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RC REV v N-1N" F99sT N
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NE' • ♦ • ' a NA GENERAL WARRANTY DEED
Fasciae Tax %* 0
Tax Let No Parcel Identifier No 9485 54 9716
Verified by a County on the _ day of 20
by f
}oil after recording - • Ir■ & Zuraval
ant/37652 ? - d ace Fayetteville NC 28305
This inatnmrnt was pre. - C Hudson
Brief Description for ` WP 208 CAROLINA LAVA PIPS 7
BL& - n
;DNS DPRD made this Sep C00 , between
HeaALLIa r 03ISTROCITC14 G ROOF wax , i ,.. ana wife
• -- - R , ,.•
Nailing Address:
PO D=C 3476
DATa019S HC 29106 _ NW
i •, .. 27332
The designation Grantor and Grantee an used - •- in 11 include said parties their
heirs successors and assigns and shall incl ar plural neaculine fenunine
or neuter as required by context
wr NESSETI that the Grantor for a valuable •• •r - , - , t - by the Grantee the
receipt of which is hereby aolmavledged has and by :: _ : _ • • does grant bargain
sell and convey unto the Grantee in fee sngrie all .i - , . - - lot or parcel of land
situated in the City of SANFO D BARBS= Tbwnship .' •• 1 + North Carolina and
more particularly gybed as follows
REM ALL OF LDS 209 SIOQM ON A NAP OF SURVEY •• :H• ✓ - .. 49 k_ LAKES PHASE
VII RED= -11 HAi_E 1*IP BAEVRCPP COMM NO[t'1Z ✓.:..3 01 • 4 :•• :,a• :.,,ia.k: 6 1995
PREPARED BY MACRON L ASSOCIATES AND maw RECORDIE3 IN - • r ' PARE 495 D
HAHIYPIT awry !mason
0
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