GAS & HEATING LICENSE
License Number:____________
(interoffice use only)
TO THE BOARD OF CITY COMMISSIONERS
CITY OF WEST FARGO
WEST FARGO, NORTH DAKOTA
Application is made the day of for a license to carry on the business stated as follows:
I agree to abide by the laws, ordinances, and regulations pertaining thereto:
BUSINESS:
Name of Business:
Address of Business:
Phone Number:
Have State Laws been compiled with?
State License #
SIGN HERE:________________________________________________________
Approved Denied
REQUIREMENTS: $5,000 CITY OF WEST FARGO BOND,
COPY OF PUBLIC LIABILITY INSURANCE & A FEE OF $25.00
+ $2.00 PER JOURNEYMAN LISTED
DATE:___________________
BOND #:_______________________
BOND TERMINATES:_____________
BOND CO:______________________________________
Do not write below this line -interoffice use only
Please note that the bonds, completed application and the fee must be presented to the City of West Fargo before a license number will be
issued. You must hold a North Dakota State Contractor's License.
Have you previously been granted a license by the city?
Name of Master License Holder:
Journeyman: Journeyman:
Journeyman: Journeyman:
Journeyman: Journeyman:
Total Number of Journeymen:
TOTAL FEE DUE:
Check #: Check $:
