Fillable CONTRACTOR LICENSE APPLICATION (City of Thornton)

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CONTRACTOR LICENSE APPLICATION (City of Thornton)

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Building Inspection Division 9500 Civic Center Dr. Thornton, Colorado 80229
Office 303-538-7250 e-mail buildings@cityofthornton.net 10-17-18
CONTRACTOR LICENSE APPLICATION
NEW RENEWAL
*For additional information and details on requirements, refer to the Contractor License Information packet
Company Information (Please Type or Print Legibly)
Business Name: Contractor Number: LCC
Insurance Co Name (Gen. Liability): Policy # Exp. Date:
FOR RENEWALS ONLY: Check here if you have verified your business information in our system and no changes are needed
Business Address: City: State: Zip:
Mailing Address: City: State: Zip:
Business Phone: Fax: Cell:
Primary Business E-Mail Address:
Select one of the following: Corporation LLC Non-Profit Partnership Sole Proprietor (MUST APPLY IN PERSON)*
Business Officer/Member/Partner: Please provide the name and address of one officer, member or partner:
First Name: MI: Last Name: Title:
Check here if contact information is same as above
Address: City: State: Zip:
Phone: Fax: Cell:
E-Mail Address:
Company Representative Name (if different from above): Phone:
License Information Checkmark next to the license(s) requested
Class A General Contractor Unlimited $200.00 Test or reciprocal license –COPY REQUIRED
Class B Building Contractor Unlimited except Type I A & B, Limited to 3 stories $150.00 Test or reciprocal license –COPY REQUIRED
Class C Residential Contractor $100.00 Test or reciprocal license –COPY REQUIRED
Class D Mechanical $75.00 Test or reciprocal license –COPY REQUIRED
Class D Plumbing $75.00 State Contractor and Master –COPY REQUIRED
Class D Plumbing/Mechanical combo license $75.00 (see plumbing and mechanical requirements above)
Class D Roofing $75.00 Test or reciprocal license –COPY REQUIRED
Class D Roofing/Siding combo license $75.00 (see roofing requirements above, none for siding)
Class D Electrical Registration no fee State Contractor and Master –COPY REQUIRED
Class D Other: $75.00 No Requirement
I hereby confirm that the above information is true to the best of my knowledge and that I will notify the Building Inspection Division of any
changes to the status, company name or address in accordance with Section 10-122 of the Thornton City Code. I also confirm that I have
read and understand the responsibilities of a license holder as stated in Section 10-121 of the Thornton City Code.
Company Representative SIGNATURE Date
CONFIDENTIAL
Upon a public request for this document a requestor release form shall be executed or this information shall be redacted.
Driver’s License Number: Issuing State: Date of Birth:
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CONTRACTOR LICENSE APPLICATION (City of Thornton)

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Completed 16 July 2020

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