Fillable Village of Coal City CONTRACTOR REGISTRATION (Village of Coal City)

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Village of Coal City CONTRACTOR REGISTRATION (Village of Coal City)

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The Village of Coal City CONTRACTOR REGISTRATION (Village of Coal City) form is 1 page long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for Village of Coal City

BROWSE VILLAGE OF COAL CITY (IL) FORMS

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Village of Coal City
515 S. Broadway
Coal City, IL 60416
(P) 815-634-8608 (F) 815-634-2487
www.coalcity-il.gov
Required fees: $200.00 for General Contractors and $100.00 for Sub-Contractors
CONTRACTOR REGISTRATION
VALID January 1
st
thru December 31
st
Business Name:______________________________FEIN#__________________
Applicant’s Name:___________________________________________________
Address:___________________________________________________________
City:_____________________________State:_____________Zip:____________
Phone:__________________________Fax:_______________________________
Email Address:______________________________________________________
Check One: Partnership Sole Ownership Corporation Other
Number of Employees:_____________
Contractor Type: General Asphalt Electrical HVAC Plumbing
Masonry Roofing Fencing Carpenter Other___________________
Other Village’s/Cities Licensed or Registered In:___________________________
__________________________________________________________________
*Contractor’s required to obtain a State License must supply Village with a copy*
I understand that this registration is based upon the information supplied on this application, is
conditioned on compliance with all Village ordinances, and is subject to revocation if any information is
found to be false or is found in violation of a Village ordinance.
S
ignature:____________________________________________Date:____________________________
Building permits must be obtained before any work starts.
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Village of Coal City CONTRACTOR REGISTRATION (Village of Coal City)

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Completed 21 January 2021

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