Plumbing Contractor License Application Form - City Of Torbay (Page 2 of 2) in pdf

Plumbing Contractor License Application Form - City Of Torbay Page 2

PUBLIC WORKS AND TECHNICAL SERVICES

1288 Torbay Road, PO Box 1160

Torbay, NL A1K 1K4

t. (709) 437-6532 f. (709) 437-1309

APPLICATION

LIST OF REGISTERED PLUMBERS

*If you would like to include your contact information in our public list of plumbers registered with the

Town of Torbay, please complete the following and return to the Town Office.

Only provide information that you want made available to the public. Your information will be added to

our list of Plumbers providing services within the Town of Torbay and will be provided to the public.

Your information will also be posted on the Town’s website for public viewing.

PLEASE PRINT CLEARLY

Name: _______________________________________________________________________________

Business Name (if applicable): ____________________________________________________________

Email Address: ________________________________________________________________________

Telephone: ____________________________________________________________________________

Business Website: ______________________________________________________________________

Additional Information:

_____________________________________________________________________________________

I consent to the release of my contact information provided above. This information will be included in

the Town’s list of registered plumbers to be made available to the public and to be made available on the

Town’s website.

Signature: ______________________________

Date: _______________________________

Plumbing Contractor License Application Form - City Of Torbay Page 2