Application

Planning, Development & Transportation
Community Development & Neighborhood Services
281 North College Avenue; P.O. Box 580
Fort Collins, CO 80522.0580
970.416.2740; 970.224.6134- fax
fcgov.com
MASTER ELECTRICIAN/MASTER PLUMBER REGISTRATION APPLICATION
Type of Registration Requested:
Master Electrician 
Master Plumber

Company Name:
Master Electrician/Plumber Name:
Address:
Phone #
Mobile #
Fax #
E-mail Address:
State License #
Expiration Date:
The following must be submitted to process this registration request:
Electrician:
• Copy of current Master Electrician License
• Copy of current Active State of Colorado Contractor’s Card
• Copy of Picture ID
• Affidavit
• Current certificate of general liability insurance
• Sales Tax License Application
Plumber:
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•
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Copy of current Master Plumber License
Copy of current Active State of Colorado Contractor’s Card
Current certificate of general liability insurance (Minimum $2 million Aggregate)
Copy of Picture ID
Affidavit
Sales Tax License Application
$200.00 registration fee
Signature of Applicant
Date
No registration will be issued until all of the above-referenced information has been received by the
Community Development & Neighborhood Services Department. Submittal of inaccurate information
may result in revocation of the registration and forfeiture of any fees that have been collected.