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CITY HALL: 7651 E. Central Park Avenue
Phone:
316-744-2451
Hours: M-Th: 8:00 AM-5:30 PM, F: 8:00 AM-1 PM
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Contractor's Class D License Application
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This form has been modified since it was saved. Please review all fields before submitting.
Application For:
*
New
Renewal
Bond Expiration
License Fee: $75 per year
License Number
(If Renewal is selected, please fill in your existing license number here.)
Licensing For:
*
Concrete Contractor License (Bonding Required)
Electrical License
Fencing Contractor License
Landscape / Tree Care Contractor License
Mechanical License
Plumbing / Mechanical License
Plumbing / Sprinkler License
Roofing Contractor License
Roofing / Siding Contractor License
Siding Contractor License
Sign Contractor License
Other
Select one or more, as applicable.
Copy of current City of Wichita or Sedgwick County Master License
*
Copy of Proof of Insurance
*
Copy of current State of Kansas Roofing Contractor Registration Certificate
(If applying for a Roofing License.)
Business Name
*
Email Address
Business Address
*
City
*
State
*
Zip Code
*
Phone Number
*
Fax Number
Business Conducted As:
*
Individual
Partnership
Corporation
Personnel of Business
Name
Office or Position
Name
Office or Position
Name
Office or Position
Person(s) Authorized to Obtain Permits and Request Inspections:
Name
Office or Position
Name
Office or Position
Name
Office or Position
Are there any liens, suits, or judgments now pending against you or the business party?
*
Yes
No
Have you or the organization filed for bankruptcy during the past year?
*
Yes
No
Who is financially responsible for the business?
*
Please indicate if you would like to include your company on the Bel Aire website list of licensed contractors. No additional charge.
Yes
No
Statement of Agreement
In submitting this application, it is understood that the applicant whose electronic signature appears below agrees to comply with the provisions of the codes, ordinances, and resolutions applicable and that it is unlawful for a licensee to allow his or her name or license to be used by another, and farther that a license may be revoked for reason of misrepresentation of facts in obtaining such a license.
Name
*
(Electronic Signature)
Date
*
Date
Will you mail your payment to City Hall?
Yes
No
The application's payment by check or money order for the license is to be submitted to:
City of Bel Aire
Department of Community Development
7651 E Central Park Avenue
Bel Aire, KS 67226
Would you like to pay over the phone?
Yes
No
***Once the application has been reviewed and processed, you will receive a phone call for payment.
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
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