Commercial Contractors Registration Form - City Of Walker, Michigan Building & Zoning Department

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CITY OF WALKER
4243 Remembrance Rd., N.W.
Walker, Michigan 49544
BUILDING & ZONING DEPARTMENT
COMMERCIAL CONTRACTORS REGISTRATION FORM
BUSINESS NAME _________________________________________________________________________
BUSINESS ADDRESS ______________________________________________________________________
CITY ___________________________STATE ______________________ZIP CODE ___________________
BUSINESS PHONE (_________) ________________________FAX ( _________) ______________________
PERSON(S) AUTHORIZED TO SIGN FOR PERMIT:
PRIMARY AUTHORIZATION:
_________________________________PHONE ___________________D.O.B._________________________
SECONDARY AUTHORIZATION:
_________________________________PHONE ____________________
_________________________________PHONE ____________________
REGISTRATION FEE: 10.00 RECEIPT NO. ______________________DATE: ______________________

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