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CONTRACTOR REGISTRATION Business Name: Principal Name: Business Address: City, State Zip: Phone: MW GOLDEN CONSTRUCTORS Jason Golden, Executive Vice President 1700 N Park Street Castle Rock Colorado 80109 (303 )688 -9848 E-Mail: jgolden@mwgolden.com Electrical and Plumbing contractors shall provide their State of Colorado Electrical or Plumbing License number Fire Protection contractors shall provide of their Vail Fire and Emergency Services Contractor Registration number D Electrical Lie.#: D VFES Contracor Reg.#: _______ _ O Plumbing Lie.#: ______ _ ro~~ I hereby certify that it is my responsibility to abid ing requirements per Vail Town Code. by the Vail Town Code and licensing requirements. Further, I certify that I shall maintain the insurance and licens-,d that failure to comply with all town codes, laws, and regulations may result in revocation of my license including penalties as allowed t.-f/t ~/17. Issued by: Florencio Mondragon, Acting Chief Building Official Date {L 30. d-Od-0 Registration Expiration Date Community Development Department-75 South Frontage Road West-Vail, CO 81657-Phone: 970-479-2139