H
OME IMPROVEMENT CONTRACTOR REGISTRATION
CI
TY OF UNIVERSAL CITY, TEXAS
I
/We
wish to apply to the City of Universal City for a Home
Improvement Contractor license.
1. I
s applicant an individual a partnership Corporation
2. S
tate full name, date of birth, driver’s license number and State of the applicant, partners, or
corporate officers
.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Business Address _____________________________________________________________________
City/State _____________________________________ Zip Code ______________________________
Business Phone ________________________________Fax # _________________________________
Cell Phone __________________________________________________________________________
E-mail Address _______________________________________________________________________
3. If partnership or corporation, state the full name, addres
s, date of birth, driver’s license
number and State of each partner or principal officer and a criminal records search for each:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
4. Type of business and type of work you perform _______________________________________
5. How long have you been in this type business? _______________________________________
6. If less than ten y
ears, previous business or employment ________________________________
7. How long in business under this present company name________________________________
8. If less than ten y
ears, list previous company names
_____________________________________________________________________________
_____________________________________________________________________________
9. List the names of those people whom you wish to authorize to obtain permits for your company
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
10. Have you or any member of this partnership or corporation been arrested within the last five
years? __________ If yes, explain
_____________________________________________________________________________
_____________________________________________________________________________