Fillable Taxi-Application Taxi Application-Updated 020718.xlsx

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Taxi-Application Taxi Application-Updated 020718.xlsx

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BROWSE CITY OF BISMARCK (ND) FORMS

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CITY OF BISMARCK
ADMINISTRATION DEPARTMENT
Phone: 701-355-1300 ● Fax: 701-221-6470 ● TDD 711
221 N 5th St ● Bismarck, ND 58501
LAST REVISED: 10/26/18
Name of Applicant (Individual or Business): Email Address:
Business Address: City: State: Zip: Business Phone Number:
Mailing Address: City: State: Zip: After Hours Phone Number:
Applicant's experience in the transportation of passengers:
Location of proposed depots and terminals:
Color scheme of insi
g
nia to be used to desi
g
nate the motor vehicle
(
s
)
of the a
pp
licant:
Make Model Vehicle ID Number Capacity of Passangers:
The following must accompany this application:
_________ Photo of Cab/Logo _________ Vehicle Title(s) ________ Rate Fare Chart
__________ $100.00 Application Fee __________ Vehicle Inspection report for each vehicle
__________ Payment of $25.00 per vehicle
__________ Certicficate of Liability Insurance
State of Applicant's Signature
County of Print Name
Subscribed and sworn to before me this ____________________
day of _____________________________________________
_
Note: Each application needs to be signed and notarized. Notary Public
TAXI CAB
LICENSE APPLICATION
Chapter 5-05-03 of the Code of Ordinances of the city of Bismarck requires that “a person may not operate or permit a taxicab owned or
controlled by him to be operated as a vehicle for hire upon the streets of the city without obtaining a license pursuant to this chapter.”
Number of Vehicles to be operated or controlled
by the applicant:
North Dakota
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CITY OF BISMARCK
ADMINISTRATION DEPARTMENT
Phone: 701-355-1300 ● Fax: 701-221-6470 ● TDD 711
221 N 5th St ● Bismarck, ND 58501
LAST REVISED: 10/26/18
Vehicle ID Number: Make:
Model: Year:
Body Style:
(See Chapter 39-21 NDCC, Article 37-12 NDAC, and Bismarck City Ord. 12-14-01)
Fail
Accessible (Title 5, Chapter 5-05-02)
Brakes (39-21-32, 39-21-33) (37-12-02-03(1))
Bumper Height (39-21-45.1) (37-12-02-03(2))
Clearance Lights and Reflectors (39-21-05, 39-21-07 through 39-21-12)
Door Latches (37-12-02-02(1))
Exhaust System ((39-21-37) (37-12-02-03(3))
Fenders (37-12-02-03(4))
Floor Pan (37-12-02-02(2))
Fuel System (37-12-02-03(5))
Headlights (39-21-02, 39-21-03, 39-21-20)
Hood Latches (37-12-02-02(3))
Horn (39-21-36) (37-12-02-04)
License Plate Light (39-21-04) (3)
Mirrors (39-21-38) (37-12-02-02(5))
Steering and Suspension (37-12-02-03(6))
Steering Wheel (37-12-02-02(4))
Stoplights (39-21-06) (1)
Taillights (39-21-04)
Tires (37-12-02-03(7))
Turn Signals (39-21-06(2), 39-21-19)
Windshield – Tinted windows (39-21-39 (1) (4)
Windshield Wipers (39-21-39 (2) (3)
Repairs Completed By Signature Date
Business Name Mailing Address City State Zip Phone Number
This inspection is “only” to verify the above-described vehicle has met minimum equipment requirements as required by state law.
Inspecting Agent Agent's Signature Date
INSPECTION
CERTIFICATE OF VEHICLE
TAXI CAB
I certify that I am a business that is registered with the secretary of state, is in good standing, and offers motor vehicle repair to the public. The
business completing the inspection may not be the same business that reconstructed the vehicle as required by NDCC Section 39-05-20.2. If you own
the vehicle being inspected, the inspection must be completed by another qualified business.
Pass
The vehicle described must be inspected by a qualified business to verify compliance with state laws before a taxi license will be issued by the City of
Bismarck. If the vehicle passes inspection, this form, bearing the signature of the qualified business and accompanied by all required documents,
must be forwarded to the City Administration Department with the Taxi License application, before the public hearing will be scheduled.
Does the vehicle meet the statutory requirements including all electronic components that give power to any of the following?
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Taxi-Application Taxi Application-Updated 020718.xlsx

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Completed 11 July 2020

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