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Contractor License Application

Applicant Information
Applicant Name
Address
Phone
Email
Company Name
Company Address
Business Phone
Cell Phone
Fax
Type of Contractor
Years of Experience
Experience Record
Application Processing Fee is $75
I, the undersigned, hereby depose and say that all the statements on this application are true. I will be responsible for compliance with all ordinances and laws in effect governing work performed under permits issued by the city.
Applicant Signature
Date (mm-dd-yyyy)
Attach Document (PDF, JPG, PNG, GIF, TIFF Only)


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