Bullhead City, AZ · Mohave County
Request to Make a Change on Installation Permit
Applicants use this form to request changes to an installation permit and provide details about the requested work and any installers or contractors.
What this form is
This form requests changes to an installation permit, with only one installation permit allowed per request. Applicants provide their name, contact information, permit number, number of changes, and a detailed explanation. The form also asks for supporting-document status and installer or contractor details, including company, license, contact information, and work performed; the city records its approval or denial.
Who needs it
An applicant seeking a change to an installation permit should complete this request and provide the relevant permit and work details.
How to submit it
The form identifies City of Bullhead City Development Services at 2355 Trane Rd, Bullhead City, AZ 86442, and lists Zoning and Building phone numbers, but gives no submission method.
About notarization
This request is signed and dated without a notary; supporting documents may be included, but the form does not identify any notarized or sworn attachment.
How to submit this form
- 1
Download The Form
Download the installation permit change request PDF.
- 2
Complete The Request
Enter applicant and permit details, explain each requested change, and indicate whether supporting documents are included or not applicable.
- 3
Add Installer Details
Provide the requested company, license, contact, and work information for each installer or contractor.
- 4
Submit To The City
The form lists Development Services at 2355 Trane Rd, Bullhead City, AZ 86442; it does not state a submission method.
Frequently asked questions
- What does the installation permit change request ask for?
- It asks for applicant and permit details, the number and explanation of requested changes, supporting-document status, and installer or contractor information.
- Who completes this form?
- An applicant requesting a change to an installation permit completes the request and provides information about the work and any installers or contractors.
- How do I submit the installation permit change request?
- The form names Development Services at 2355 Trane Rd, Bullhead City, AZ 86442, but does not specify how to submit the request.
- Do I need a notary for the installation permit change request?
- No. This request is signed and dated without a notary; the form does not identify any notarized or sworn attachment.
Need something notarized?
This Request to Make a Change on Installation Permit doesn’t need a notary — but if you have another Bullhead City form that does, a commissioned online notary can help.