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Brown County Area Planning Office & Building Dept. P.O. Box 401, Nashville, IN 47448 Ph: [PHONE REDACTED] Fax: [PHONE REDACTED] Application for Contractors License (Please Print Clearly) Name of Applicant: Name & Address of Company: Telephone Number: Fax Number: Email Address: Type of Contractor General Mechanical Plumbing State License Number Electrical Date Passed County Electrical Exam Insurance You are providing proof of Liability Insurance Workmen’s Compensation Insurance I have received a copy of Ordinance#12-17-90-A and agree to abide by the provisions of this ordinance. Signature of applicant Issued Signature of Building Commissioner of Brown County or Authorized Representative Due to budget cuts: Please enclose a self addressed stamped envelope for your receipt and contractors ID card. Thank You for your assistance. OFFICE USE ONLY License Receipt Fee $ 25 ( ) Check ( ) Cash