Contractor Change/Addition Form

General Contractor/Owner

Contact Email

Permit Number

Provide the following subcontractors or general contractor being removed and/or added and replaced on this permit with the following:

General Contractor

Electrical

Mechanical

Plumbing

Fire

Current General Contractor

New General Contractor

License # (General Contractor)

Current Electrical

New Electrical

License # (Electrical)

Current Mechanical

New Mechanical

License # (Mechanical)

Current Plumbing

New Plumbing

License # (Plumbing)

Current Fire

New Fire

License # (Fire)

Notes

Signature

First Name

Last Name

Choose how to sign

Draw Type

By signing this form, I acknowledge that I am the General Contractor/Owner or Authorized Agent and the information given is correct.

Receipt

You will be provided with a Receipt upon submission.