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Sub-Contractor Declaration Form

This form declares the plumbing, electrical, and mechanical subcontractors for a construction project. The general contractor's information, including company name, license number, contact name, and signature are listed. Sections are included to provide the subcontractor's company name, state license number, and multi-jurisdictional business license number for plumbing, electrical, and mechanical work specified in the building permit.

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Joel Tendo
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2K views1 page

Sub-Contractor Declaration Form

This form declares the plumbing, electrical, and mechanical subcontractors for a construction project. The general contractor's information, including company name, license number, contact name, and signature are listed. Sections are included to provide the subcontractor's company name, state license number, and multi-jurisdictional business license number for plumbing, electrical, and mechanical work specified in the building permit.

Uploaded by

Joel Tendo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Sub-Contractor Declaration Form

BLDG PERMIT #(s):____________________________________


PROJECT ADDRESS:___________________________________

General Contractor Information for Project


Company Name:______________________________________________________

State Contractors License Number:________________________________________

Print Name:__________________________________________________________

Signature:_________________________________ Date:______________________

This is to certify that the following company is the PLUMBING subcontractor and is responsible for
work as specified on the above referenced permits.

Company Name: ________________________________________________________________________

State Contractors License Number: ________________________________________________________

Multi-Jur Business License Number: ________________________________________________________

This is to certify that the following company is the ELECTRICAL subcontractor and is responsible for
work as specified on the above referenced permits.

Company Name: ________________________________________________________________________

State Contractors License Number: ________________________________________________________

Multi-Jur Business License Number: ________________________________________________________

This is to certify that the following company is the MECHANICAL subcontractor and is responsible for
work as specified on the above referenced permits.

Company Name: ________________________________________________________________________

State Contractors License Number: ________________________________________________________

Multi-Jur Business License Number: ________________________________________________________

(Please Type Form or Print Legibly)

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