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2. Contractor License Application Form - New
4. Company Name Name*
6. Address*
8. City*
9. State*
10. Zip Code*
12. Phone Number *
13. Email Address*
15. Contact Person
17. Contact Phone Number
18. Contact Email Address
22. Select Contractor Type*
    -- Select One --General Contractor ($105.00)All Other Contractors ($50.00)
23. Type of General Contractor*
    -- Select One --Overseeing Subcontractors OnlyOverseeing Additional Trades on Staff
25. Select Trades ($10.00 each)*

    1. Carpenter
    2. Chemical Suppression
    3. Demolition
    4. Drywaller
    5. Electrician
    6. Excavator

    1. Fence
    2. Fire Alarm
    3. Fire Sprinkler
    4. Glazer
    5. HVAC/Mechanical

    1. Insulator
    2. Irrigation
    3. Low Voltage
    4. Mason
    5. Paver

    1. Plumber
    2. Roofer
    3. Sewer
    4. Signage
    5. Solar
27. Attach Bond*
    Permit Bonds must be made out to the Village, valued at $10,000, contain a 30-day cancellation clause, be specific in trade, be signed by the owner or corporate officer, his or her signature needs to be notarized and the bond must run through our licensing year. Our licensing year runs from February 01 of the current year through January 31 of the following year.
29. Attach Bond
    Permit Bonds for sewer contractors must be made out to the Village, valued at $20,000, contain a 30-day cancellation clause, be specific in trade, be signed by the owner or corporate officer, his or her signature needs to be notarized and the bond must run through our licensing year. Our licensing year runs from February 01 of the current year through January 31 of the following year.
31. Attach Electrical License*
33. Attach 055 Plumbers License*
34. Attach 058 or Chicago Plumber License*
36. Attach State License*
38. Execute*

    1. I agree

    By selecting I agree option below you are giving your electronic signature.
39. No False statements
    Your submission of this form certifies that the information provided is true and correct.
41. First Name*
    Information for individual completing this form.
42. Title*
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44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit Submit and Print

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