City of Gainesville

104 W Hird Street, Gainesville, Texas 76240, 940-668-4799

Ordinance Number 1021-9-2003

CONTRACTOR REGISTRATION

Business Name*

Contact Name*

Contact Phone Number*

Type of Business

Address

City*

State*

Zip*

Mailing Address

City*

State*

Zip*

Phone Number*

Fax Number

E-Mail Address

Name of Owner

Driver's License Number*

Phone Number*

Alternate Phone Number

The terms "contractor or general contractor" shall include, but not be limited to: builder, home builder, customer builder, framers, pool contractor, home remodeler, landscaper or landscape company, roofing contractor, concreted or masonry contractor, electricians, plumbers, moving contractor, demolition contractor, alarm system contractor, lawn or fire sprinkler system, and all others eligible to obtain a building permit with the exception of private citizens doing their own work.

I AFFIRM THAT THE ABOVE INFORMATION IS TRUE AND CORRECT

Printed Name*

Signature*

Date*

** Attach copies of driver's license, liability insurance and any State licenses that apply or send copies to cbarnes@cogtx.org.

Renewal is required yearly. Fee is in accordance with current fee schedule. Ordinance Number 1022-9-2003. Registration expires one year from registration start date.