TRADE Applicabon it 1/ /^ OO ` e 217
Harnett County Central Permitting
PO Box 65 Lillington NC 27546
910 -893 7525 Fax 910 893 2793
www hamett org /permits
Certification of Work Performed By Owner /Contractor
(Individual Trade Application)
Owner (s) of Structure .J ES s 6 (#41-1 /TLE y Phone ?/o `( 76 •-53o
Owner (s) Mailing Address / 6 2 L Co 0 1C / rt» W47
SA-N jCu 4 p /✓L 27 3 3-
Land Owner Name (s) 54 '' F Phone
Construction or Site Address
PIN or Parcel # from GIS 9.fe f.S 1 t eg N 3 00°
Job Cost Descnption of Work to be done C' l Cr NC ‘ /Ll�-Q
T cx isri4 / Er 4 ,SY S�Et"
Mechanical New Unit With Ductwork _ New Unit Without Ductwork _ Gas Piping _
Electncal 200 Amp _ <200 Amp _ Service Change _ Service Reconnect _ Other _
For Progress Energy customers we need the premise number
Plumbing at. - Tap ✓ Number of Baths _ Water Heater
S eclfic Directions to Job from Lllhnaton La try G __ < a2e ✓e
CA?,, 44 r i a t A k...ES RO g V 'ed /.c , f�itu aAlt Side
5(1 e-- /Va. a(< 124( "6 -s' 24`i 1 GGC■fr it <
Subdivision CAP - U NA' <44 tZ.Cs Lot* Z° 9
I /'cA' fie- of /- will provide the Aim /�inq labor on this structure
(Contractors - Name) (Tra )
I am the budding owner or my NC state license number is 3 0 O 9 J 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 ore ances and regulations
Structure owner(s) signature J Date /C &IL / 1
Company Name ,h s Je -- L.n1, -y �c.-cm c < f Phone 9/ `7 — 3'Z `1 i2 04
Address 4 //3`7 /3cJ07< F c /G/ /_ 64 'V 4 County w Ak &-
Contractor's License# 6* 3 /// 0 0'7/ Email Address 0s4 ,,,/,,,,,, fen, Lf 240 t PoL ^" / c-o. -
Contractor's Signature
At Date 3//6///
Company name address & phone must match information on license
Indmdual Trade Application 1 of 1 06/10
0 1111111111111
FOR c a5- A e► oeeoa
1.Nr COUNTY TAX ID,,- 1 S , __ d
BE 181 FEE i� W
IC EV SUN se MU ! 2101
., • ,A.. i ,j:e --
• • . r • • • LINA GENERAL WARRANTY DEED
Exci ax
. lot No Parcel Identifier No 9585 54 8843.000
Verified by _.
- County on the _ clay of 20
by tttttt
Nail after •• - -al ate Lae Pirm 0 22847 -09JCS
This instrument was • - =:I • «.: • C Budsae
Brief Description for . /AT 209 CAR02.INA LA1038 PE VII SLR
Ts
THIS MEG made this 7/8/2'0
GRAMME GRANTEE
MESDALLICN CONSTRUCITON GROW r ass:.:. m WICflEY and wit Fabian A
i-
NiaILING ADDRESS i ' AIffi2138S
PO BOX 2476 .. •• •1 32
EAT1703143 NC 28106 1 • NC 273332
ma designation Grantor and Grantee as • ., shall include said parties thear
hears successors and assigns and shall •• - • ar plural masculine feminine
or neuter as required by context
le
WI'IIgSSEah1 tha the Grantor for a valuabl - • - , - tun paid by the Grantee the
receipt of which is hereby aalaiowledaed has • • - - - e3 s de grant bargain
sell and catvey unto the Grantee in fee maple - ' - y' lot or parcel of land
situated in the City of BAta BBG Tbrnwhip - k r... y North Carolina and
more part cularly described as follows
BRING all f Lot Number 209 Bkxk TI in subdivide. - ' • LINA LAKES
PHASE VII and lb mane being duly momdedm Book of Plats • Harnett
Coned Registry North Camlma.
Parcel identifcau nN 03- 9585-20 -0209
Property Address. 1026 Coachman W y Lot209 Corollas La - - 2
C