Full Text
City of Cody Contractor License Renewal Application Fee: $100.00 Date: City License Number: Company Name: Owner Name: Mailing Address: City, State, Zip: Telephone Number: Cell Phone Number: Email Address: Electrician certifications if any: Master Electrician Name: Master Electrician Card Number: Master Electrician Card Expiration Date: Wyoming Electrical Contractor License Number: By signing this application form, I certify that: 1) I have read and understand the City of Cody Contractor Licensing Ordinance (Title 9, Chapter 3 of the City of Cody code) and agree to comply with the requirements thereof. 2) I understand that failure by me, or my employees while under my supervision, to comply with the requirements of the City of Cody Contractor Licensing Ordinance, including failure to obtain all required permits and inspections, is grounds for suspension and revocation of my contractor license. Print Name Signature of Applicant Date Return this form along with the $100.00 renewal fee by 12/31/2020 to: City of Cody Community Development Office PO BOX 2200 Cody, WY 82414 Renewals submitted after December 31, 2020 are subject to a $30.00 late fee. SIGN