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Contractor License Application

Contractor License Application

Contact Name
Address
Max. file size: 100 MB.
NOTE: Certificate of Insurance for Contractor's general liability and Workers' Comp must list the Town of Timnath as the holder.
Type of work to be performed (select all that apply):(Required)
Max. file size: 100 MB.
State License REQUIRED for Electricians and Plumbers
Max. file size: 100 MB.
REQUIRED for Electricians and Plumbers only
Max. file size: 100 MB.
IF YOU ARE THE SOLE PROPRIETOR (not Inc. or LLC) of your business, you must now comply with the requirements of House Bill 06S-1023. If you have not done so in a previous year, you must: Complete the Lawful Presence Affidavit . Sign the Affidavit before a notary Public (A notary is available at Town Hall.) Return the Affidavit with your signed contract, application or renewal. Enclose a copy of the identification presented to the Notary (e.g. driver's license)
Fees to be Included with Application (select one):

Signature

Contractor hereby agrees that he is responsible for all work performed according to drawings and specifications filed and approved by the Town of Timnath. Each contractor for a specific job will have their own current contractor's license prior to permit issuance.
Name
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.