JACKSON COUNTY PUBLIC WORKS
PLANNING & DEVELOPMENT DIVISION
303 W Walnut, Independence, MO 64076 ♦ Phone 816-881-4649 ♦ Fax 816-881-4448
SUB-CONTRACTOR LIST
JACKSON COUNTY REQUIRES ALL ELECTRICAL, PLUMBING, AND MECHANICAL
SUB-CONTRACTORS OBTAIN A VALID COUNTY CONTRACTOR LICENSE PRIOR TO WORKING ON ANY
PROJECT REGULATED BY CHAPTERS 54 & 240 OF THE JACKSON COUNTY CODE.
DATE: _________________ PERMIT #: ______________
CONSTRUCTION SITE ADDRESS: ___________________________________
GENERAL CONTRACTOR/BUILDER: ________________________________
CONTRACTOR PHONE #: ________________ CONTRACTOR EMAIL______________________
Electrical Contractor: _______________________
Address _______________________
_______________________
Phone _______________________
Jackson County Electrical Contractor License Number EC-____________
Plumbing Contractor: _______________________________
Address _______________________
_______________________
Phone _______________________
Jackson County Plumbing Contractor License Number PC-____________
Mechanical Contractor: _______________________________
Address _______________________________
_______________________________
Phone _______________________________
Jackson County Mechanical Contractor License Number MC-____________
CALL MARLON SOUTHARD 816-881-4409 TO SET UP ALL INSPECTIONS.
A 24 HOUR NOTICE IS REQUIRED.
This completed sub-contractor form must be kept at the work site and
available for inspection at all times.
