Get Contractors License Riverton Wyoming Form

For Electrical Contractors State Contractor s License Master of Record Card Company Name Mailing Address City State Zip Business Address if different from mailing address Person to contact regarding this application Phone No. Fax No. E-mail Address Type of Business Federal Tax ID No. Number of Employees or Self-Employed Wyoming State Trade or Contractor License No. if applicable Signature of Applicant Date Return the completed application and required items listed above to City of Riverton Community Development Dept. City of Riverton COMMUNITY DEVELOPMENT DEPARTMENT APPLICATION FOR CONTRACTOR S REGISTRATION The following items will need to be submitted to the Community Development Department prior to starting work within the City. 1. Completed Application Form* 2. Registration Fee - 75. 00 Initial 50. 00 annual renewal Payable to City of Riverton 3. Current Certificate of Liability Insurance with City of Riverton listed as Certificate Holder Minimum requirements 100 000 Property damage 100 000 Bodily injury or damage including death to any person 250 000 one person 4. Worker s Compensation Unemployment Insurance Certificates of Good Standing. Applicant must be registered with the State of Wyoming Department of Workforce Services. 5. For Plumbing HVAC applicants International Code Council Certificate s or Wyoming Association of Municipalities Certificate 6. 816 North Federal Blvd. Riverton WY 82501 Phone 307 856-9129 Fax 307 857-7470 P CommDev/form/ContRegForm 8/27/12. City of Riverton COMMUNITY DEVELOPMENT DEPARTMENT APPLICATION FOR CONTRACTOR S REGISTRATION The following items will need to be submitted to the Community Development Department prior to starting work within the City. 1. Completed Application Form* 2. Registration Fee - 75. 00 Initial 50. 00 annual renewal Payable to City of Riverton 3. 1. Completed Application Form* 2. Registration Fee - 75. 00 Initial 50. 00 annual renewal Payable to City of Riverton 3. Current Certificate of Liability Insurance with City of Riverton listed as Certificate Holder Minimum requirements 100 000 Property damage 100 000 Bodily injury or damage including death to any person 250 000 one person 4. Current Certificate of Liability Insurance with City of Riverton listed as Certificate Holder Minimum requirements 100 000 Property damage 100 000 Bodily injury or damage including death to any person 250 000 one person 4. Worker s Compensation Unemployment Insurance Certificates of Good Standing. Applicant must be registered with the State of Wyoming Department of Workforce Services. Worker s Compensation Unemployment Insurance Certificates of Good Standing. Applicant must be registered with the State of Wyoming Department of Workforce Services. 5. For Plumbing HVAC applicants International Code Council Certificate s or Wyoming Association of Municipalities Certificate 6. City of Riverton COMMUNITY DEVELOPMENT DEPARTMENT APPLICATION FOR CONTRACTOR S REGISTRATION The following items will need to be submitted to the Community Development Department prior to starting work within the City. 1. Completed Application Form* 2. Registration Fee - 75. 00 Initial 50. 00 annual renewal Payable to City of Riverton 3. Current Certificate of Liability Insurance with City of Riverton listed as Certificate Holder Minimum requirements 100 000 Property damage 100 000 Bodily injury or damage including death to any person 250 000 one person 4.