Fillable ContractorLicense FillIn Contractor's License

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ContractorLicense FillIn Contractor's License

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The ContractorLicense FillIn Contractor's License form is 1 page long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for City of Dunbar

BROWSE CITY OF DUNBAR (WV) FORMS
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APPLICATION FOR CONTRACTOR’S LICENSE(S)
APPLICATION IS HEREBY MADE FOR THE YEAR BEGINNING JULY 1, __________________
COMPANY NAME:
APPLICANT’S NAME:
COMPANY ADDRESS:
APPLICANT’S ADDRESS:
COMPANY PHONE#
APPLICANT’S PHONE#
FEDERAL EMPLOYMENT IDENTIFICATION#
APPLICANT’S SSN#
PUBLIC LIABILITY INSURANCE COMPANY:
BANK WHERE COMPANY DOES BUSINESS:
OTHER CITIES WHERE COMPANY HOLD LICENSE:
I (WE) DECLARE THAT THE STATEMENTS CONTAINED IN THIS APPLICATION ARE TO THE BEST OF MY (OUR)
KNOWLEDGE AND BELIEF, TRUE AND CORRECT.
COMPLETE ENTIRE FORM AND SUBMIT WITH PAYMENT TO THE FOLLOWING ADDRESS:
CITY OF DUNBAR
CLERK’S OFFICE
P.O. BOX 483
DUNBAR, WV 25064
PLEASE NOTE:
COPY OF INSURANCE POLICY AND CURRENT WV CONTRACTOR’S LICENSE MUST BE
SUBMITTED WITH APPLICATION OR LICENSE WILL NOT BE ISSUED.
ALL CITY BUSINESS & OCCUPATION TAXES MUST BE PAID UP TO DATE BEFORE ANY LICENSE
CAN BE ISSUED.
A $ 90.00 REGISTRATION FEE IS REQUIRED.
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ContractorLicense FillIn Contractor's License

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Completed 11 July 2020

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