CITY OF CONWAY, SC
SUB-CONTRACTOR ROSTER
General Contractor Instructions -1 7complete all re�ested information and return to building department 2 weeks prior to requesting C/O.
2 !Sub-contractors contract value must be shown on roster card.
= T T General Contractor: _ l _ 1
1
t Permit Number: I
ProJectName: I -Project Address: I _
lOffi
I Fax# 1start Date
I -
[_,-1
Job Supervisor: I Cell Phone 1 c------,----------t
--
�
.� PREP/CJ:/GRADING -{� l r r BUSIN�SS LICE::::ui.,v COMPANY NAME I r CONWAY BUS. LIC. # CURRENT Yes No CONTACT NAME j I jRENEWAL REQUIRED ( Yes e
-
- No T
FAXELE
NP
UH
MO
BN
EE
R -
t
CONTRACT VALUE -if UPDATE REQUIRED � Yes -� No __
1 jDATE NOTIFIED MAIL ADDRESS $ loATE PAID
-'
-- -
E MAIL ADDRESS
7customer Number
- i PEST CONTROL T -� - Bus1N1ss LICE_N_S-+E -O-F -FI_C _E _u_sE�O -NL- Y::::::::::::: COMPANY NAME-f- ± CONWAY BUS. LIC. # CURRENT ---
1
�Yes I- N� CONTACT NAME --- RENEWAL REQUIRED Yes No TELEPHONE CONTRACT VALUE UPDATE REQUIRED Yes No
FAX NUMBER -
---
-
-
+ DATE NOTIFIED
MAIL ADDRESS $
DATE PAID E-MAIL ADDRESS 1
� lcustomer Number t-1------;I _ I i � -1 1 -
I CARPENTER/FRAMER
+
___!USINESS LICENSE OFFICE USE ON_L Y�---J COMPANY NAME CONWAY BUS. LIC. # CURRENT Yes No CONTACT NAME
j 1-�
RENEWALREQUIRED Yes _-,_ No TELEPHONE I CONTRACT VALUE UPDATE REQUIRED Yes No
FAX NUMBER I j � DATE NOTIFIED +--MAIL ADDRESS 7 _ _ _ _
1$ __
_ _
__, 1DATE PAB -i _ -= E-MAIL ADDRESS ' ___
j ]customer Number
1 1 r ·
c: r -
1-----
-
JI ROOFING
---=-----r-
---J- BUSINESS LICENSE OFFICE USE ONLY
COMPANY NAM� CONWAY BUS. LIC. # I
-
- CURRENT __L ---t- Yes No CONTACT NAME ---
---+--- RENEWAL REQUIRED Yes No
TELEPHONE - -
CONTRACT VALUE - UPDATE REQUIRED -Yes - No-� - .,-----------,- - -
FAX NUMBER $DATE NOTIFIED
MAIL ADDRESS --+--
-
-----t-DATE PAID I E-MAIL ADDRESS--- - --
-[ Custo_ m_e�r _N _u_m_ b_ e_r -+---
---'--------1
- I -r-- - - � I
t J ___ � BRICK/BLOCK MASON BUSINESS LICENSE OFFICE USE ONLY
COMPANY NAME J �j CONWAY BUS. LIC. # 1 J
CURRENT -- Ye-s-�I
--N-
0-
--1
CONTACT NAME j - RENEWAL R.EQUIRED 7-Yes : No -TELEPH0
7:R .1-- l CONTRACT VALUE j_
I UPDATE REQUIRED i Yes r--= No __
��LNA��� -_-_-- --� - 7$ _J t- - ������l�
F
IED --±�_-_-_-_,
E-MAIL ADrRE� T -1 I _ -----r Customertumber --. _
