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Contractor License Registration (General Contractors do not need to register)

2. Business Information

4. Name of Business*

6. Business Owner's Name

8. Type of Business*
   -- Select One --MechanicalElectricalPlumbingSign

10. Address1*

12. City*

13. State*

14. Zip*

16. Phone Number*

17. Cell Number

19. Email Address

21. Upload Master License

22. Upload Contractor License

24. Upload Notarized Letter

26. Insurance Information

28. Insurance Agent

29. Insurance Agent's Phone Number

31. Upload Certificate of Liability Insurance

33. Please contact your insurance agent and have them email all insurance renewals to permits@cityofwebster.com instead of mailing or faxing.

    Please contact your insurance agent and have them email all insurance renewals to permits@cityofwebster.com instead of mailing or faxing.

35. License Information & Fee
    No permit shall become effective until the required license and certificate of insurance has been submitted and is on file with the city. There is no registration fee.

    No permit shall become effective until the required license and certificate of insurance has been submitted and is on file with the city. There is no registration fee.

37. Electronic Signature*

    By checking I agree, you agree and acknowledge your electronic signature is valid and binding in the same force and effect as a handwritten signature.

    1. I Agree
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit Submit and Print

* indicates a required field