Contractor License Registration

2. Annual Licenses Registration Expires on June 30th Each Year.
4. Type of License:*
   -- Select One --ElectricalGeneralMechanicalPlumbingPoolSignSolar
5. First Time & Yearly License Renewals:
   $100.00 per trade
7. Business Name*
9. DBA: (Doing Business As)
11. Business Phone Number*
12. E-Mail:*
14. Business Address:*
16. City*
17. State*
18. Zip Code*
20. Contractor First & Last Name:*
21. Contractor Contact Phone Number:*
23. Include with Application a Valid copy of:

    Contractor's Drivers License

    Contractor's State of Oklahoma Contractor's License (Only applicable for Electrical Mechanical & Plumbing)

    Business's Certificate of Liability Insurance (MINIMUM $300,000.00)

    You may have your insurance company e-mail the Certificate of Liability Insurance to: permit@cityofglenpool.com

25. Contractor's Drivers License
26. State of Oklahoma Contractor's License
27. Certificate of Liability Insurance
29. Payment Instructions:

    After submittal please call to Pay by phone: 918-209-4610 (Visa / Mastercard only)

    We are CLOSED for Lunch Daily from 12:00 -1:00

Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field