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Form preview Town of cary project modificat... Application for Permit Commercial or Residential Application/Permit - PROJECT MODIFICATION This form must be completed for all projects whenever you wish to change the scope of work as described on the original application. PROJECT INFORMATION Project Address City ZIP Subdivision Lot No. Project Name Project Contact Person Phone Fax PROPOSED MODIFICATION check one Revision to plans still in plan review Restamp lost or damaged plans Revision to approved plans Other What is the scope of the change This modification includes changes that pertain to check all that apply Building Electrical Plumbing Mechanical Zoning/Setbacks Utility Pretreatment County Health Dept. Does the modification result in a change in square footage No Yes If yes more / less sq. ft. ADDITIONAL PERMITS REQUIRED If yes what new permits are required Building Electrical Plumbing Mechanical Other ADDITIONAL CONTRACTORS Contractor Type Contractor Company Name Office Phone Address City State ZIP Email Office Fax NC License Number Class Town of Cary Privilege License Number OWNER / AGENT STATEMENT I hereby certify that I have the authority to make the above change s to the original application and that the information provided is correct. Application for Permit Commercial or Residential Application/Permit - PROJECT MODIFICATION This form must be completed for all projects whenever you wish to change the scope of work as described on the original application* PROJECT INFORMATION Project Address City ZIP Subdivision Lot No* Project Name Project Contact Person Phone Fax PROPOSED MODIFICATION check one Revision to plans still in plan review Restamp lost or damaged plans Revision to approved plans Other What is the scope of the change This modification includes changes that pertain to check all that apply Building Electrical Plumbing Mechanical Zoning/Setbacks Utility Pretreatment County Health Dept. Does the modification result in a change in square footage No Yes If yes more / less sq. ft. ADDITIONAL PERMITS REQUIRED If yes what new permits are required Building Electrical Plumbing Mechanical Other ADDITIONAL CONTRACTORS Contractor Type Contractor Company Name Office Phone Address City State ZIP Email Office Fax NC License Number Class Town of Cary Privilege License Number OWNER / AGENT STATEMENT I hereby certify that I have the authority to make the above change s to the original application and that the information provided is correct.
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