County of Moore
Planning and Transportation
Inspections/Permitting: (910) 947-2221
Planning: (910) 947-5010
Transportation: (910) 947-3389
Fax: (910) 947-1303
NOTICE OF CHANGE OF CONTRACTOR
Application Number: ______________
Owner: ______________________________________
Location:
________________________________________________________________________________
Be it known to all persons that (I) (We) _______________________________________, being a duly
licensed North Carolina ______________________________Contractor, License # ______________,
on this date_____________, hereby certify that I am acting Contractor for the above described pro-
ject and agree to assume all duties and obligations relative to that position.
Contractor: __________________________________ Date:__________________
Witness: ____________________________________ Date:__________________
*Ocial Use Only_______________________________________________________________________
Received By: _________________________________________ Date: ____________________________