Contractor License Form PDF

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SUBMIT

SPEARFISH CITY CONTRACTOR'S LICENSE


DATE: CITY LIC. # (assigned by city) *LICENSE FEE: $75.00
Please make check payable to: City of Spearfish

This license shall exist from the date issued to the end of the current calendar year in
accordance with the city ordinance governing the same.
(examples: general, painting, HVAC,
roofing, concrete, etc.)
LICENSE TYPE :

BUSINESS NAME:

MAILING ADDRESS:

CITY/STATE/ZIP:

EMAIL:

TELEPHONE: SD EXCISE TAX#


All contractors working in South Dakota are required to have a
contractors’ excise tax permit. Administrative Ruling 64:09:01:16

SD PLUMBING LIC.# SD ELECTRICAL LIC.#

INSURANCE REQUIREMENTS -
The City of Spearfish requires $1,000,000 each occurrence liability insurance AND $2,000,000
general aggregate liability insurance. Please have your insurance company send a Certificate
of Insurance showing these limits AND naming City of Spearfish as a Certificate Holder.
FAX: 605-642-1337
*Working in our jurisdiction without a current license will be an automatic $150.00 fee.

Contractors shall have a current code book pertaining to their trade.

Signature of License Holder

Print Name of License Holder

ADDITIONAL CONTACT INFORMATION for


BUILDING SERVICES
Phone: (605) 642-1335
Fax: (605) 642-1337
CITY OF SPEARFISH E-mail: Building.Services@cityofspearfish.com
625 N. 5TH STREET
SPEARFISH, SD 57783

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