Full Text
MECHANICAL SUB-CONTRACTOR AFFIDAVIT Site Address: This is to certify that I am responsible for the Mechanical installation and compliance with all applicable codes. I relieve Dawson County and its Inspectors from any liability for damages loss of property or improper installation. Company Name State License # Licensed Mechanical Contractor Signature Notary Public Signature and Stamp Date Do you have a restricted license? Yes No If no, sign and date below. If yes, is the scope of this work within the license restriction ( Maximum 175,000 BTU heating, maximum 60,000 BTU cooling)? Yes No Licensed Mechanical Contractor Signature Date