Change of Subcontractor Form (Print)
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10 Print Form JOHNSTON COUNTY INSPECTIONS DEPARTMENT 309 E MARKET ST SMITHFIELD NC 27577 ~ PHONE 919 989 - 5060 ~ FAX 919 989 - 5431 SUBCONTRACTOR CHANGE FORM This form is to advise the Johnston County Inspections Department that the original contractor listed on the permit referenced below has been replaced and request the permit be amended to reflect this change To submit this form you can either fax it in to the Johnston County Inspections Department at 919 - 989 - 5431 , mail it in to the Johnston County Inspections Department 309 E Market St Smithfield NC 27577 , or bring it in to the office in person One form per permit One form per trade Type of Contractor MECHANICAL PLUMBING ELECTRICAL Permit Information PERMIT NUMBER PROJECT NAME PROJECT ADDRESS City State Zip Code LOT NUMBER SUBDIVISION Contractor Change Details ORIGINAL CONTRACTOR NAME ORIGINAL CONTRACTOR LICENSE # NEW CONTRACTOR NAME NEW CONTRACTOR LICENSE # NEW CONTRACTOR ADDRESS NEW CONTRACTOR PHONE # Regulations The new contractor must sign below agreeing to assume all responsibility for the project Once the form is submitted to the Johnston County Inspections Department , the permit will be amended to reflect the new contractor Please make a copy to keep for your records SIGNATURE DATEPage