CITY OF COMBINE
CONTRACTOR PERMIT & REGISTRATION FORM
TYPE OF CONTRACTOR LICENSE (please choose one)
*
Please Select
Electrical Contractor
Master Electrician
Journeyman Electrician
Master Sign Electrician
Mechanical (HVAC)
Master Plumber
Journeyman Plumber
Third Party Energy Provider
Project Address if applicable:
Contractor Information
*
Company Information
*
Registering for:
*
New Build/Remodel (no permit fee or separate permit required)
Other (not part of a new build - Residential $150/Commercial $225
Please provide a copy of Driver's License, State License & Certificate of Liability Insurance
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