Town Of Quartzsite P.O. Box 2812/465 N Plymouth Ave., Quartzsite, Az. 85346
I am currently a licensed contractor: Name _________________________________________________
License No.____________________________ ROC License Class ____________________________
Signature _______________________________________ Title _______________________________
I AM EXEMPT FROM Arizona Contractors’ License laws on the basis of the license exemptions contained in A.R.S. §32-1121A., namely:
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I understand that the exemption provided by A.R.S. §32-1121A.14 (the Handyman Exemption) does not apply to any construction project which requires a building permit and/or the total cost of materials and labor are $750 or more. |
I will be using the following licensed contractors on this project;
______________________________________License No. ROC_______________ Class_________
(General Contractor)
______________________________________ License No. ROC ______________ Class _________
(Mechanical Contractor)
______________________________________ License No. ROC______________ Class__________
(Electrical Contractor)
______________________________________ License No. ROC ______________ Class _________
(Plumbing Contractor)
Signature _____________________________________ Date ________________________________
Falsification of information on this document for the purpose of evading State licensing laws is a Class II misdemeanor pursuant to A.R.S. §13-2704.