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2. Please fill this out in its entirety, enclose the appropriate fee, include a copy of your Certificate of Insurance indicating your liability coverage, and upload a copy in the appropriate field (below), or mail it to the Town of Lyons at the address listed below. We will not be able to process the paperwork until we have received all requested items.
   
   If you have any questions, please call Lyons Town Hall.
4. Please Check One*

   1. $50 New License Application
   2. $50 License Renewal Application
5. If renewing, please list your Lyons Contractor License number*
7. Is there a permit pending this license approval?*

   1. Yes
   2. No
9. Permit Number
10. Address
12. Town of Lyons Contractor License Application
    This application must be completed in full.
14. Business Name:*
16. Physical Business Address:*
18. City:*
19. State:*
20. Zip Code:*
22. Email Address:*
24. Business Phone Number:*
25. Second Phone Number:
26. Fax Number:
28. Specify the type of work your company will be engaged in:*

    1. General
    2. Plumbing

    1. Electrical
    2. Mechanical

    1. Other (please specify below)
30. Please specify other or additional type of work your company will be engaged in.
32. Owner's Name:*
34. Owner's Address:*
36. City:*
37. State:*
38. Zip Code:*
40. Owner's Phone Number:*
41. Owner's Second Phone Number:
43. List other cities in which you are currently licensed, along with current license numbers:*
45. Certificate of Insurance*
    Please upload a scanned copy of your Certificate of Insurance with the Town of Lyons named as certificate holder.
47. Master License
    No fee is required if you are an Electrical or Plumbing Contractor, according to State Statutes, but you must enclose a copy of your present valid and current masters license issued by the State of Colorado. State Electrical or Plumbing License Number (attach copy):
48. State Contractor License
    No fee is required if you are an Electrical or Plumbing Contractor, according to State Statutes, but you must enclose a copy of your present valid and current contractor license issued by the State of Colorado.
50. Signature*

    Application is hereby made for the Town of Lyons registration, and the undersigned will be responsible for conformance to all Town of Lyons ordinances, adopted codes and the 2018 International Building Code and International Residential Code and the 2020 National Electric Code:

    1. I accept
52. E-Signature*
    Please type full name
53. Today's Date*
    Today's Date
55. Payment
    After submitting this application, please mail a check or money order (please do not mail cash), along with any other applicable material (Certificate of Insurance, etc.) to the address below. Or, cash, checks, and money orders will be accepted in-person at Lyons Town Hall.
    
    Mailing Address:
    Attn: Contractor License Technician
    Lyons Town Hall
    PO Box 49
    Lyons, CO 80540
    
    In-Person:
    Lyons Town Hall
    432 5th Ave.
    Lyons, CO 80540
Leave This Blank:


57. Submit

* indicates a required field