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Annual Contractor License Registration Application

2. Annual Licenses Expire on June 30th Each Year.

4. Type of License:*
   -- Select One --ElectricalGeneralMechanicalPlumbingSign

5. First Time & Yearly License Renewals:
   $100.00 per trade

   $100.00 per trade

7. Business Name*

9. Business Address:*

11. City*

12. State*

13. Zip Code*

15. Phone Number*

16. E-Mail:*

18. Contractor Name:*

19. License #:*

21. Include with Application a Valid copy of:
    Contractor's Drivers License, State of Oklahoma Contractor's License, & Certificate of Liability Insurance

    Contractor's Drivers License, State of Oklahoma Contractor's License, & Certificate of Liability Insurance

23. Contractor's Drivers License*

24. State of Oklahoma Contractor's License*

25. Certificate of Liability Insurance*

Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field