Trade License Application Form (Guidelines And Checklist) Page 2

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FOR OFFICE USE ONLY:
LICENSE ID #:
City of Minneapolis
Licenses and Consumer Services
CSR:
th
350 South 5
Street – Room 1
Minneapolis, MN 55415–1391
FEE: $
Phone: 612-673-2080
DATE:
Fax: 612-673-3399 TTY: 612-673-2157
Trades License Application
1. TYPE OF LICENSE
Building Wrecker, Class A
Heating, Air Conditioning & Ventilation
Residential Specialty Contractor
Building Wrecker, Class B
Oil Burner Installer
Sign Hanger
Duct Cleaner (HVAC Class B)
Plumber
Steam and Hot Water Installer
Gas Fitter
Refrigeration Installer
2. BACKGROUND INFORMATION
Minnesota Sales Tax ID Number, Social Security Number or Individual Tax ID Number
Legal/Corporate Name of Business
Trade Name (DBA)
Business Telephone Number
Business Address/Location
City
State
Zip Code
Mailing Address (if Different than Business Address)
City
State
Zip Code
Name of Person Filling out this Application
Title
Telephone Number
E-Mail Address
Fax Number
Cell Phone Number
Name of Manager and Home Address
Date of Birth
Date of Incorporation
State of Incorporation
Type of Ownership
Corporation
LLC
Sole Proprietor
Partnership
Nonprofit
Is this business publicly traded?
Yes
No
3. QUALIFIED MASTER(S) Attach additional sheets if necessary.
Name of Master
Trade
Comp Card Number
Date of Birth
Name of Master
Trade
Comp Card Number
Date of Birth
Name of Master
Trade
Comp Card Number
Date of Birth
Have you ever had a business license denied or revoked by Minneapolis or another government entity?
Yes
No
If Yes, indicate the date of denial/revocation, government agency, and reason for denial or revocation.
List all types of work to be conducted in Minneapolis.
This application must be stapled and all pages attached to avoid processing delays. Page 2 of 4 - October 2015

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