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Contractor Registration
{}
W10=
*
Date
*
Company name
*
Street address
*
City
*
State
*
Zip Code
*
Phone
*
Licensee name
*
State license number
*
Registration type
Please select one
Building residential = $20
Mechanical = $15
Electrical = $20
Plumbing = $1
Building commercial: $20
Fence: $20
Sign: $20
Right of way: $20
Shed: $20
Fire suppression: $20
Fire alarm: $15
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/frontend_forms/resumable_upload/
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