Irrigation Permit Application
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10 JOHNSTON COUNTY INSPECTIONS DEPARTMENT 309 E MARKET STREET SMITHFIELD , NC 27577 ~ PHONE 919 989 - 5060 ~ FAX 919 989 - 5431 IRRIGATION PERMIT APPLICATION PROJECT INFORMATION PROJECT OWNER NAME COMMERCIAL RESIDENTIAL PROJECT ADDRESS CITY ZIP CODE PHONE # JOB COST Includes the mainenance contact WATER SUPPLIER JOHNSTON COUNTY PUBLIC UTILITIES PRIVATE UTILITIES PRIVATE WELL TOWN OTHER North Carolina General Statute 143 - 3554 a states that local government water systems and large community water systems shall require seperate meters for new in - ground irrigation systems that are connected to their systems CONTRACTOR INFORMATION Homeowner Irrigation Contractor Other CONTRACTOR NAME ADDRESS CITY PHONE # LICENSE # Anyone installing a system is required to meet all the rules and regulations of the North Carolina Irrigation Contractors Licensing Board REGULATIONS The undersigned does hereby declare that the information given above is correct and agrees with all State and Local law , Local ordinances and regulations , and the North Carolina State Building Code The under - signer also declares all sub - contractors for this project have been notified of their contractual obligation to this project The applicant futhermore declares that he she is the property owner or legally represents the property owner This application only becomes a permit when it has been processed and approved by the Johnston County Inspections Department and all applicable fees paid Owner Contractor Agent Signature Print Name Date Additional Comments Page