Ezone Contractor Application

Ezone Contractor Application

Contractor Application

Project Name

Provided by primary project contact

Project Address

Street Address

Street Address Line 2

City

State

Zip code

Contractor/Subcontractor Name

Number of jobs required for subcontractor’s portion of project

Contact Person

Contact Person

First Name

First Name

Last Name

Last Name

Contact Business Address

Street Address

Street Address Line 2

City

State

Zip code

Phone Number

Email

FEIN

Total contract amount on project

Contract amount that consists of building materials qualified exemption

Percentage of total contract amount that consists of building materials qualified for exemption

Project Description

Applicant’s expected completion date

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