Tradesman Application _3_.DOC by pengxiang

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									                                   City of North Myrtle Beach, South Carolina
                                            Building Codes Enforcement
                                  APPLICATION FOR TRADE CERTIFICATION


Application fee of $125 must accompany this application. Certification is for five (5) years and is not refundable.
Make all checks payable to The City of North Myrtle Beach. The Fee for a lost, destroyed, or stolen certificate is
$15.00 The applicant shall provide a copy of his/her State of SC Master license, furnish two (2) current passport size
photographs measuring 2 inches x 2 inches, & a copy of qualifiers current Drivers License.

_______________________________ __________________________________________________
          (State Licensed Holders Name)                                          (Residence Street Address)

___________________________________________________________________________________________________
 (City)                                             (State)         (Zip)                (Home Telephone #)

Present Employer/Business:______________________________________________________________
                                            (Name/Business Name)                                  (Business Telephone)

Employer Business Address:______________________________________________________________
                                            (Street Address)                             (City)          (State)         (Zip)

Applicants Position With Employer/Business:__________________________________________________

Do you NOW, or Have you ever held a Trade Certificate
with a City, County, or State Government?                                   NO           YES (If yes, Where?)_________________

CERTIFICATION
I hereby make application for Trade Certification to engage in a business or operation in the City of North Myrtle Beach,
South Carolina, as a (check each trade applying for)

                                                    Electrician:                 Plumber:                 Mechanical:
     MASTER QUALIFYING BY:

     H. Block proctored Master Tradesman Certification Test:
     Reciprocity of proctored H. H. Block Master Tradesman Examination administered by:
     ____________________________________(Name of County or Municipality, or Testing Agency)
     Reciprocity of South Carolina Municipal Association Master Trade Certification (Attach Copy)
     Reciprocity of South Carolina Licensing Board for Contractors License. (Attach copy of license/s)



Date of Birth                             Drivers License #                           SC Gen. Contractor Lic.#


NMB City License #                                             New NMB Trade Certification #

I hereby certify that the foregoing statements are true and correct to the best of my knowledge and belief. I authorize the CITY
OF NORTH MYRTLE BEACH to conduct any investigation it deems necessary to evaluate my application.



_____________________________________ ____________________________ _________________
                 SIGNATURE                                            TITLE                                   DATE


              MUST BE SIGNED BY QUAILFIER AND IF BEING MAILED, MUST BE NOTORIZED & SEALED

								
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