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REHABILITATION CONTRACTORREGISTRATION APPLICATION
The undersigned contracting firm hereby applies to be placed on the “Acceptable Contractors Register” maintained by our office for the purpose of performing rehabilitation work in the City of Waukegan. It is certified that the information given below is complete, factual, and that no unfavorable information has been withheld.
Name, addresses and years of construction experience of all owners, partners and stockholders. (Fields expanded as needed)
List three (3) recent customers for which you have done major work. Include name, address and telephone number.
The undersigned contracting firm agrees that in consideration for being placed upon the “Acceptable Contractors Register” he/she will comply with the following conditions on all rehabilitation work performed on properties located within the City of Waukegan, regardless of whether federal financing is or is not used by the owner.
By typing my full name here, I agree that this stands as my electronic signature.
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