Fillable CITY OF AZUSA - CONTRACTORS LIST (City of Azusa)

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CITY OF AZUSA - CONTRACTORS LIST (City of Azusa)

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Page 1 of 5
Please email to: ycardenas@azusaca.gov or fax to Business License Division: Fax: (626) 334-5464 Yadira Cardenas Phone: (626) 812-5200 x5332
CITY OF AZUSA - CONTRACTORS LIST
Job Address: Date: Permit Number: City Business License Number:
General Contractor Name: Address: City: State: Zip:
Completed by: Phone:
Instructions: List all contractors, sub-contractors or other entities that perform work at the site. Illegible or incomplete entries will delay the issuance of the Certificate of Completion
for this project. The general contractor will be held responsible for the payment of any business licenses that remain unpaid upon completion of this job.
Type of Work State Lic No Full Name Street Address City
State
Zip Phone Fax
Acoustics
Air Conditioning
Appliances
Architect
Auto. Doors
Block Walls
Burglar Alarm
Cabinets
Caisson Drilling
Carpentry Finish
Carpentry Rough
Carpeting
Caulking
Concrete
Page 2 of 5
Job Address:
Please email to: ycardenas@azusaca.gov or fax to Business License Division: Fax: (626) 334-5464 Yadira Cardenas Phone: (626) 812-5200 x5332
Type of Work
State Lic No
Full Name Street Address City State Zip Phone Fax
Concrete Lt. Wt.
Conveyors
Coring
Counter Tops
Decking
Demolition
Doors & Frames
Doors - Steel
Drywall
Electrical
Elevators
Engineer
Excavating
Fencing
Fire Sprinklers
Fireproofing
Flooring
Flooring Resilient
Page 3 of 5
Job Address:
Please email to: ycardenas@azusaca.gov or fax to Business License Division: Fax: (626) 334-5464 Yadira Cardenas Phone: (626) 812-5200 x5332
Type of Work
State Lic No
Full Name Street Address City State Zip Phone Fax
Framing
Girders Beams
Glass & Glazing
Grading
Gunite
Hardware Install
Insulation
Intercom
Landscaping
Lathing
Mail Chutes
Marble & Granite
Marlite
Masonry
Millwork
Music System
Ornamental Metal
Overhead Doors
Page 4 of 5
Job Address:
Please email to: ycardenas@azusaca.gov or fax to Business License Division: Fax: (626) 334-5464 Yadira Cardenas Phone: (626) 812-5200 x5332
Type of Work
State Lic No
Full Name Street Address City State Zip Phone Fax
Painting
Parking Lot Stripe
Partitions
Paving
Paving - Asphalt
Piling
Plastering
Plumbing
Roofing
Scaffolding
Sewers
Sheet Metal
Shoring
Shower Doors
Sound Proofing
Steel Reinforcing
Steel Stairways
Steel Structural
Page 5 of 5
Please email to: ycardenas@azusaca.gov or fax to Business License Division: Fax: (626) 334-5464 Yadira Cardenas Phone: (626) 812-5200 x5332
Job Address:
Type of Work
State Lic No
Full Name Street Address City State Zip Phone Fax
Sunscreens
Swimming Pool
Terrazzo
Tile - Vinyl
Tile - Ceramic
Toilet Partitions
TV Antenna
Water Proofing
Window Wash
Others
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Completed 2 August 2020

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