Village of Crete Application May 1st

Village of Crete Application May 1st - April 30th
License applying for*

Contractor - $100Landscape/ Lawn Service - $75Plumbers with 055’s – No FeeTree Removal Service – No Fee
Plumbers with 055's - No Fee Tree Removal Service - No Fee
Business Name*
Business Address*
City State Zip*
Business Phone*
Email Address if we have questions*
example@example.com
Business Owners Name*
Business Owners Address*
City State Zip*
Business Owner's Phone*
Electrical license number*
State of Illinois Plumber's license number
Plumbers license number
State of IllinoisRoofer’s license number
Must attach with application:

_Current COI with Village of Crete as the Policy Holder

_Electrical, Roofers, Plumbers license if applicable
Current COI with Village of Crete as the Policy Holder*

Cancelof
Electrical, Roofers, Plumbers license if applicable

Cancelof
SIGNATURE OF APPLICANT*

Clear
Date

MonthDayYear
Date
ANY MISREPRESENTATION OR FALSIFICATION OF THIS APPLICATION MAY RESULT IN THE REVOCATION OF THE LICENSE AS GRANTED.

Village of Crete - 524 W. Exchange St PO Box 337 Crete IL 60417 Phone: (708)672-5431 E-Mail: forms@villageofcrete.org Fax: (708) 672-3920
Should be Empty:

Village of Crete Application May 1st - April 30th