Fillable OFFICE USE Town of Mills Application for Contractors (Town of Mills)

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OFFICE USE Town of Mills Application for Contractors (Town of Mills)

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The OFFICE USE Town of Mills Application for Contractors (Town of Mills) form is 1 page long and contains:

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  • 3 check-boxes
  • 12 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Mills

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License # _________________
Town of Mills Application for Contractors Business License
DATE _____________________
located at
□ New
$35.00
$35.00
$70.00
___________________
Contractor License Expiration Date ___________________
Contractor License
Fire Inspection
Fire Inspection Completed Date
BUSINESS PHYSICAL STREET ADDRESS
□ Expired (fee is doubled)
□ Renewal
Business mailing address: ____________________________________________________________
do hereby apply to the Town Council of the Town of Mills for a Contractors Business License to operate my
business within the Town of Mills for a period of ONE year,
______________________________________________
_________________________________ of
BUSINESS NAME (as it will appear on the license)
TITLE (i.e. owner, manager, etc.)
Incomplete Applications will be returned. Complete all fields in RED
I, _____________________________________ , the
NAME
__________________________________________________________________________________
CITY, STATE, ZIP
Insurance Expiration Date
Proof of Liability Insurance:
A Contractors Business License is required for a contractor to operate within the Town
of Mills. Please call Town Hall at 234.6679 if you have any questions.
Signed ________________________________________
Print Name ____________________________________
City _______________________ State ____________ Zip _______________
(circle one)
Contractor ID # issued by: Natrona County City of Casper Town of Mills State of Wyo
Business phone #: ___________________ Contractor ID #: _______________________
Fee is to be PAID before license is approved
OFFICE USE ONLY
I, ____________________________, Town Clerk
of the Town of Mills Wyoming, do hereby certify
that the above license was read, examined and
was / was not granted at a regular meeting of
the Town Council held on the ___________ day
of ___________________________, 2020.
Attest __________________________________
Town Clerk
OFFICE USE
ONLY
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OFFICE USE Town of Mills Application for Contractors (Town of Mills)

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Completed 31 January 2021

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