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For a printer friendly version click here:  Application

Contractors Registration Application


Company Name:

 

Date:


Company Address 1:

 


Company Address 2:

 


Phone:

 

 
Fax:

 


Corporation

 


Sole Proprietor

 


Partner

 

Please attach a copy of your license

 

Signature of Applicant:

 

Date:

 

Basic Information Required

 

Building

Federal ID #

 

 

Electric

License #

 

 

Plumbing

Expiration Date

 

 

Heating

 

 

Cooling

 

Repairs

 

Go to Building, Planning, Zoning

 

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52 - 152nd Avenue, Holland, Michigan  49424
Phone (616) 399-4520   Fax (616) 399-8540
Design and Hosting by
Crossover Technologies
Last updated on  10/23/2007