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2. Licensing Fees
4. Class A: $150
   General Building Contractors (all encompassing)
6. Class B: $100
   (Building Contractor, Sub-Contractor or Tradesman): Basement Finish, Concrete, Decks, Drywall, Excavating, Finish Work, Foundations/Caissons, Frames, Heating/Air Conditioning, Hot Water, Lathing, Masonry, Moving, Pipeline, Plaster, Plumbers, Roofing/Waterproofing, Setting of Mobile Homes, Solar Panel Installation, Structural/Misc. Iron, Swimming Pools, Trim for Doors, Windows, Welders, Well Drilling
8. Class C: $50
   (Contractor, Sub-Contractor or Tradesman): Alarms, Asphalt, Cleaning of Spec Homes, Ditching, Drain Layers, Fencing, Fire Protection, Flooring, Glass & Glazing, Gutter Installation, Installing Signs, Insulators, Landscaping, Painting, Patio & Awning, Siding, Signs, Skirting for Mobile Homes, Sod Layers, Sprinkler System, Temperature Controls, Tile Setting, Window Coverings, Wrecking Contractor
10. Electricians - No Fee **PLEASE COMPLETE ELECTRICIAN FORM
    State license still required.
12. Which license class are you applying for? *

    1. Class A - $150

    1. Class B - $100

    1. Class C - $50
14. Taxable
15. License
    License
16. Quantity
17. Shipping Cost
19. A nonrefundable convenience fee for all online transactions will be added upon checkout.
23. CONTRACTOR INFORMATION
25. Name of Business*
26. Name of Owner*
28. Address*
29. City*
31. State*
32. Zip*
34. Mailing Address
36. City
37. State
38. Zip
40. Contact
41. Contact Phone*
42. Local Office Phone
44. Email*
    (The email address you provide will be the primary contact for permit notifications and inspection reports)
45. Website Address
47. Type of Contractor*

    1. General
    2. Mechanical
    3. Plumbing
    4. Roofing

    1. Solar
    2. Electrical
    3. Other (define)
48. If other, please define
50. If you are an electrician or plumber, please provide your state license number:
52. Electrician State License Number
53. Plumber State License Number
57. INSURANCE INFORMATION
59. Is your business exempt from providing Worker's Comp?*

    1. Yes

    1. No
61. Upload your Certificate of Insurance listing the Town of Firestone as Certificate Holder and Additionally Insured.*
62. Upload your Certificate of Insurance for Workers Comp with the Town of Firestone listed as Certificate Holder, if different from General Liability.
66. DISCLAIMER
68. Municipal Code
    Firestone's Municipal Code in Regards to Contractor Licensing
70. Check Here*

    By signing below, you have read and agree to abide by the Town of Firestone Municipal Code and all Ordinances and Regulations.

    1. I agree my electronic submission of this form constitutes my signature affirming the above information is true and correct.
72. Applicant Signature / Authorized Agent Signature*
73. Date*
    Date
Leave This Blank:


74. Calculate Totals Proceed to Checkout

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