Affidavit of Change of Engineer/Architect
Affidavit of Change of Engineer/Architect
Affidavit of Change of Engineer/Architect
Project: ______________________________________________________________________________________
Permit No: ________________________ Job Address: _____________________________________________
Owner’s Information:
Name: _______________________________________________________________________________________
Address: _____________________________________________________________________________________
Phone Number: __________________________________ Email: ______________________________________
___________________________ _______________________________________
New Architect/Engineer of Record Owner:
Date: ______________________ Date: ________________
SWORN to and subscribed before me this _____ day of ______________ , 2019, by _________________ ,
____ Personally known or ____ Produced I.D., Type of Identification Produced _______________________
________________________
Signature of Notary Public
(seal)