Change of Use Application - City of Washington, NC

< Change of Use Application

Property Information

Contractor(s)

Change of Use Permit Application

Business / Owner Information

Name of New Business:

Address of New Business:

City, State, Zip:

Phone Number:

Email:

Business Owner Name:

Business Owner Address:

City, State, Zip:

Phone Number:

Email:

Project Information

Site Address:

Is Electrical Power Already On?:

Does Name Need to be Changed on Utility Billing?:

Have you Contacted the Fire Marshal's Office?:

Do You Plan on Adding a Wall Sign to the Building?:

Do you Plan on Adding or Deleting any Walls or Ceilings or do any Electrical, Plumbing, or Heating work?:

Detailed Description of New Business:

**If there is a change in the occupancy type the new occupancy will need to brought into compliance with current NC Building Codes including all ADA requirements.**

I understand that if the permitted use changes without prior approval, the City of Washington will take the necessary action to bring the structure into compliance. I affirm that the information on this form is accurate and truthful to the best of my knowledge.

E-Signature:

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