Fillable Contractor Registration Form 052418-writable Contractor Registration

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Contractor Registration Form 052418-writable Contractor Registration

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The Contractor Registration Form 052418-writable Contractor Registration form is 1 page long and contains:

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  • 0 check-boxes
  • 20 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Leander

BROWSE CITY OF LEANDER (TX) FORMS

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CONTRACTOR REGISTRATION
(PLEASE PRINT
CLEARLY)
Company Name:
Address:
City: State: Zip:
Office Contact:
Office Phone: Fax:
Email:
License Holder:
Trade:
License Type:
License Number: Exp. Date:
Signature:
Submit the below items when returning this form:
A photocopy of all required Licenses.
Proof of Liability Insurance (the city does not need to be listed as an insured).
Commercial Projects
Please fill out the below information if you are a contractor assigned to a project.
Without the below filled out, inspections cannot be requested on MyPermitNow (MPN).
Project Name: ____________________________________________________________
Project Address: ___________________________________________ Suite: ___________
MPN Project Number(if available): _____________________________________________
Email Address: ____________________________________________________________
Phone number: ____________________________________________________________
Email Form to abpc@leandertx.gov
201 N. Brushy St., Leander TX 78641
(512) 528-2752
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Contractor Registration Form 052418-writable Contractor Registration

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Completed 13 July 2020

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