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112 W. Belknap StreetJacksboro, TX 76458940-567-6321
Copies of State License (for all licensed), Certificate of Liability Insurance and Driver's License.
I testify that the information is correct and if any changes in this information occurs I will notify the City of Jacksboro within ten (10) working days of such change.
I will not perform any work within the corporate limits of the City of Jacksboro unless said work has been authorized by obtaining the required permit(s) for the City of Jacksboro.
I understand that all fees shall apply; except that if any person shall make an application for a permit as provided in this division, after the work has been started or after the work has been partially completed or concealed, such persons shall pay double the fee or fees which would ordinarily be required.
I understand that I must provide copies of State License (for all licensed), Certificate of Liability Insurance and Driver's License.
I understand that this application will not be accepted if all required documentation and application fees are not received wtihin 5 business days of submitting the application.
I understand that I may not permit nor perform any work within the city limits of the City of Jacksboro until I have received confirmation of completion and acceptance of this application.
(Please state "none" if there are no additonal authorized persons.)
By submitting this document I am stating that I am the Contractor or an Authorized Contractor Representative. As a Contractor Representative I have uploaded or will provide proof of legal representation.
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