Company Name *
Address *
City *
State *
Zip *
Federal Employer Identification Number *
Business Privilege License # *
Contact Person First Name *
Contact Person Last Name *
Phone *
Email *
Please attach copy of your paid receipt for your Business Privilege License and all other trade, occupation and business licenses issued by the City of Williamsport. Additional information may be required in order to approve the permit application.
Please list all company vehicles for which you are applying for contractor parking permits.
Tag *
Make *
Model *
Year *
Tag
Make
Model
Year