ST. TAMMANY PARISH PATRICIA P. BRISTER

PARISH PRESIDENT

DEPARTMENT OF PLANNING & DEVELOPMENT

P.O. BOX 628 | COVINGTON, LOUISIANA | 70434 | PERMITS@STPGOV.ORG | 985-898-2574 OR 985-646-4166

WWW.STPGOV.ORG

Revised 04-19-2016

Application For New Contractor Registration Check the trade that applies to your state license

Residential Plumbing

Commercial Mechanical

Third Party Inspector Gas

Electrical

Qualified Party Company Name

Address

City State Zip code

Office Phone# Cell#

Fax Number

Email Address:

State License Number:

Occupational License Number (If Applicable)

Registration Fee Registration #

Payment Method

Applicant Signature

Date