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2. Instructions
   All contractors are required to obtain a Eudora city contractor’s license to practice their trade within the City of Eudora and shall hold a valid license from a Kansas state, county, or municipal jurisdiction.
   
   All work shall be performed in compliance with all city standards including the obtaining of required building permits.
   
   The application below must be filled out in its entirety and all requested materials must be received by the city before a contractor's license will be issued and any project work can begin.
   
   Once your application is received, a member of our billing office will be in touch to issue the permit and collect payment.
4. City of Eudora Municipal Code
   Licensing of Contractors
6. Contractor Classification
   The type of work you or your contractor will be conducting will determine the type of license issued. Please select from the list below to identify the type of contractor license the City will issue. A contractor's license costs $75 per contractor (Updated 2019).
   
   Fees will be collected by our billing office following submission of the application and review of the required information.
8. Contractor Classification*
   -- Select One --General Contractor (GC)Electrical Contractor (EC)Plumbing Contractor (PC)Mechanical Contractor (MC)Concrete Contractor (CC)Fence Contractor (FC)Roofing Contractor (RC)Miscellaneous Contractor (MISC)
12. Contractor Information
    The contractor listed is the person that the permit will be issued to and, by City Ordinance, is required to be the person doing the work. Each contractor who will be doing work on a project is required to have a contractor's license with the City of Eudora. Please fill out a unique application for each contractor.
14. First Name*
15. Last Name*
17. Phone Number*
18. Email Address*
22. Business Information
24. Name of Business*
26. Business Owner's Name
28. Business Address*
30. Address 2 (if necessary)
32. City*
33. State*
34. Zip*
36. Business Phone*
37. Business Fax Number
39. Business Email*
41. Type of Business*
42. Upload Contractor / Business License (See Notes Below)*
    1. Most contractors - including miscellaneous contractors - are required to be licensed to perform work in Eudora. Please update the appropriate license.
    
    2. If you are a fence contractor, you may not have a business license. Please upload a copy of your driver's license if you do not have another license.
    
    **Roofing contractor's must send their valid State of Kansas roofing license.**
46. Insurance Information
48. Insurance Company*
49. Insurance Agent*
51. Insurance Agent's Phone Number*
52. Insurance Agent's Email Address*
54. Upload Certificate of Insurance*
    **The City of Eudora must be listed as policy holder for the insurance to be accepted. please use address; City of Eudora, 4 E 7th Street, Eudora, KS 66025**
58. Subcontractors
60. How many subcontractors will join your team?*
    -- Select One --01234
62. Subcontractor Type*
    -- Select One --PlumbingFencingRoofingElectricalConcreteHVACMechanical
63. Subcontractor Business Name*
65. Subcontractor Email*
67. Subcontractor #2 Type*
    -- Select One --PlumbingFencingRoofingElectricalConcreteHVACMechanical
68. Subcontractor #2 Business Name*
70. Subcontractor #2 Email*
72. Subcontractor #3 Type*
    -- Select One --PlumbingFencingRoofingElectricalConcreteHVACMechanical
73. Subcontractor #3 Business Name*
75. Subcontractor #3 Email*
77. Subcontractor #4 Type*
    -- Select One --PlumbingFencingRoofingElectricalConcreteHVACMechanical
78. Subcontractor #4 Business Name*
80. Subcontractor #4 Email*
84. License Information & Fee
    No license shall become effective until the required business license and certificate of insurance has been submitted and is on file with the city. All fees must be paid prior to the issuance of the contractor's license. The contractor license fee is (your fee) per contractor.
86. Contractor's Responsibility*

    I hereby agree to be responsible for all work performed under each contractor's permit issued, whether the contractor, a company employee, or a subcontractor performs any work. I will obtain permits for any work performed on the project. If obtaining a general contractor's license, I will inform the Codes Administrator at the time the permit is issued of any subcontractors on the project. I will ensure that all subcontractors are licensed, if required, for the specialty work they are contracted to perform. I understand that the qualified individual's signature is required on all permit applications.

    1. I have read and understand the contractor's responsibility
88. Electronic Signature*

    I confirm that the above information is accurate and true, to the best of my knowledge, and I will notify the Codes Administrator of any changes to the facts of this application, changes to my company's status, or any changes to project work. Checking this box is my agreement and acknowledgement that my electronic signature is valid and binding in the same force and effect as a handwritten signature.

    1. Electronic Signature
90. Date of Submission*
    Date of Submission
Leave This Blank:


92. 1. Receive an email copy of this form.
93. Email address

    This field is not part of the form submission.

94. Submit Submit and Print

* indicates a required field