Inspector Of Structures Change (Page 2 of 2) in pdf

Inspector Of Structures Change Page 2

APPLICANT SIGNATURE:

YES Have you had any disciplinary sanctions imposed by any regulatory agency or commission

within the past 5 years?

If Yes, applicants are required to attach a written explanation and the final disposition document.

Original Signature:

Date:

Division Use only:

Receipt #________________________ Initials __________________________ Date____________________________

REPORT OF EXISTENCE OF NEVADA BUSINESS LICENSE

Pursuant to NRS 645D

All applicants MUST complete this section. Please select ONE option.

I have a Nevada business license number assigned by the Nevada Secretary of State upon

compliance with the provisions of NRS Chapter 76.

My Nevada business license number is: _______________________________________

I have applied for a Nevada business license with the Nevada Secretary of State upon compliance

with the provision of NRS Chapter 76 and my application is pending.

I do NOT have a Nevada business license number.

The Real Estate Division is not the arbiter of determining whether the applicant needs a business license.

Information about the Nevada business license can be found on the Secretary of State’s website at:

Revised: 01/01/14

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