TRADE Application # d1 C ao 2Z 379
Mad In application
Please note if this application Harnett County Central Permitting
is part of a fob in progress PO Box 65 Llllington NC 27546
with open permits 910 893 7525 Fax 910 893 2793
www harnett org /permits
yes _ no
Certification of Work Performed by Owner /Contractor
(Individual Trade Application)
Contractor Information
Byrd s Electrical will complete the Electrical work on the project or
(Name) (Trade)
structure herein descnbed My state license number is 20256 - All work shall comply with the State Building
Code and all other applicable State & Local law ordinances and regulations
Company Name Byrd s Electncal
Mailing Address 143 Mingo Rd Benson NC 27504
Street Address
Business Phone 919 894 - 3139 Email Address
Company name address & phone must match information on license
Job Information
Land Owners Name
Mlliam Marsalis Phone 910 893
Tenant/Building Owner Of different) Phoone
Terza Dr Lillington , / � lit/ l p (L/ ) i
_ ,z
4
PIN or Parcel # from GIS 0 a 1 0 *"�' / 5
Specific Directions to Job from Lillington
Description of work to be done
reconnect hvac equipment Job Cost 25000
Mechanical New Unrt With Ductwork _ New Unit Without Ductwork _ Gas Piping
Electrical 200 Amp _ <200 Amp _ Service Change _ Service Reconnect _ Other ✓
Plumbing Water /Sewer Tap _ Number of Baths _ Water Heater
Permit Cost
Permit Fee $ 50 00 (calculated from fee schedule)
Mail In Processing Fee $3 00 per lob For Electrical Permits with Progress Energy we
need the premise number provided
Total Enclosed $
Make check payable & Mail completed application form to Haa Box Co unty Central Permitting (HCCP)
Lillington NC 27548
Contractors Signature
r Date ) J ---
*"DO NOT SE P CASH I OMPLETE APPLICATIONS WILL NOT BE PROCESSED **
0 10
Ind v dual T d Ma I I Appl ca or 1 f 1
Phone ' O "a-"O+
Tenant/Building Owner Of different) Phone
Construction or Site Address
464 Terza Dr Lillmgton 14 1 ( y ZcZ
PIN or Parcel # from GIS ✓ o ��
Specific Directions to Job from Lillinoton
changeout heat pump Job Cost $3 873 00
t han
Description of work to be done 9
Mechanical New Unit With Ductwork New Und Without Ductwork Piping
Electrical 200 Amp _ <200 Amp _ Service Change _ Service Reconnect _ Other ✓
Plumbing Water /Sewer Tap _ Number of Baths _ Water Heater
Penult Cost
Permit Fee $ 50 00 (calculated from fee schedule)
Mail In Processing Fee $3 00 per tob For Electrical Permits with Progress Energy we
need the premise number provided
Total Enclosed $
Make check payable & Mail completed application form to P Box tt Co unty Central Permitting (HCCP)
Lillington NC 27548
� I
Date � �f H
Contractor's Signature i /
Z - 2 S
"*DO NOT SEND CASH INCOMPLETE PLICATIONS WILL NOT BE PROCESSED"*
rid + idual T site Ma I Appl ca on
cl 1 0410
Application # y l n 2 377
application Mad In application
Please note if this a
PP Harnett County Central Permitting
is part of a job in progress PO Box 65 Lillington NC 27546
with open permits 910 893 -7525 Fax 910 893 2793
www hamett org /permits
yes no
Certification of Work Performed by Owner /Contractor
(Individual Trade Application)
Contractor Information
Beasley s Heating and Air Inc will complete the HVAC/ Mechanical work on the project or
(Name) (Trade)
structure herein descnbed My state license number is 9497 All work shall comply with the State Building
Code and all other applicable State & Local law ordinances and regulations
Company Name Beasle/s Heating and Air Inc
Mailing Address 57 WC Beasley Lane Coats NC 27521
Street Address
Business Phone 919 894 -4248 Email Address beasleyshvac @aol corn
Company name address & phone must match information on license
Job Information
Land Owners Name William Marsalis Phone 910 - 8934567
Tenant/Building Owner (if different) + Phone
Construction or Site Address 464 Terza D rr Ltlimglon { � L�(, L ) T l y 141-14 Ui
PIN or Parcel # from GIS / 61 0L 4 0 0I / c",
Specific Directions to Job from Lillmpton
Descnption of work to be done changeout heat pump Job Cost $3 873 00
Mechanical New Unit With Ductwork _ New Unit Wthout Ductwork _ Gas Piping _
Electncal 200 Amp _ <200 Amp _ Service Change Service Reconnect ^ Other ✓
Plumbing Water /Sewer Tap _ Number of Baths _ Water Heater
Permit Cost
Permit Fee $ 50 00 (calculated from fee schedule)
Mail In Processing Fee $3 00 per lob For Electrical Permits with Progress Energy we
need the premise number provided
Total Enclosed $
Make check payable & Mall completed application form to Hamett County Central Permitting (HCCP)
PO Box 65
/ /1 Ldhngton NC 27546
- I
Contractors Signature r c r et - S. ( Date
"DO NOT SEND CASH INCOMPLETEA'PLICATIONS WILL NOT BE PROCESSED**
Individual Trade Ma I In Application 1 or 1 04110
MAPQUEST Do you ki ow your Ctedit Score?
Tnp to 464 Ttrzah Dr 0
Lillington NC 27546 7448
2 24 miles about 5 minutes
Notes 0
O
Find out INSTANTLY!'
Freekteleam
4 Ltllington NC
1 Start out going SOUTH on S MAIN ST / US-401 / US
`*° 421 / NC 210 / NC 27 / PAUL GREEN MEMORIAL HWY go 0 0 mi
toward E FRONT ST
2 Turn RIGHT onto W FRONT ST I US -421 / PAUL
k ft/ V GREEN MEMORIAL HWY Continue to follow 05-421 / go 1 8 mi
PAUL GREEN MEMORIAL HWY
°it? 3 Turn LEFT onto TIRZAH DR go 0 5 mi
1
® 4 464 TIRZAH DR is on the RIGHT go 0 0 mi
a 464 Ttrzah Dr Llllington NC 27546 7448
Total Travel Estimate 2 24 miles about 5 minutes
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