< Contractor Registration Application

Contractor Information

License Information

Insurance / Bond Information

Persons Authorized to Pull Permits & Schedule Inspections

I certify the above information to be true and accurate to the best of my knowledge. Falsified information may result in the revocation of my contractor registration and the issuance of municipal citations.

Please attach the following items:

- Copy of the Contractor of the state master license (if applicable)
- Copy of Certificate of Insurance (COI) with the City of Dickinson, 4403 Hwy 3 Dickinson ,TX 77539, listed as the certificate holder

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