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2. Permit Number*
4. Issued Permits - A notarized letter from the assigned contractor removing themselves from the permit and a completed building permit application listing the new contractor.
6. Fee

Primary contractor $45
Sub-contractor $30
8. Unissued Permits - Complete this form only.
10. New Contractor to be assigned:
12. Company Name*
14. Qualifier's Name*
16. License Number *
18. Phone Number*
20. Email*
22. BY SUBMITTING THIS REQUEST, THE APPLICANT IS CONFIRMING THEY HAVE PROVIDED THE TRUE INFORMATION, UNDERSTAND THE REQUIREMENTS AND WILL COMPLY WITH THEM.
24. Name*
26. Today's Date*
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

* indicates a required field