* Required     

DBA
Bus Name
Bus Address (Must be physical location, not a Post Office Box)	Verifying Address... Verified! Not recognized as a valid USPS address. Valid USPS address but is missing UNIT/STE #. Valid USPS address but UNIT/STE # is not recognized. Verify Address Edit
Mail Address	Same as address above
	Verifying Address... Verified! Not recognized as a valid USPS address. Valid USPS address but is missing UNIT/STE #. Valid USPS address but UNIT/STE # is not recognized. Verify Address Edit
Taxpayer's Desc
Ownership Type	Corporation Joint Venture Ltd Liability Co Ltd Partnership Other Partnership Sole Proprietorship Trust
Employee Count *
Start Date in City of Colton (estimate if in the future)
Contact Information
Phone
Phone 2
Fax
Website
Email Address
BEAN
FEIN
SEIN
Contact Preference	Contact me by email whenever possible, in order to ensure timely notices and help protect the environment by conserving resources.
State License Information (Contractor, Medical, CAMTC, etc.)
State License #
State License Type
State License Expire Date
State License Verification *
Additional Information
Jobsite Address
Are you a business that is a regulated industry with storm water discharge requirements in accordance with the SB205 NPDES permit program? If so, please provide the SIC # and Permit # below. *	Yes No
SIC #
NPDES Permit #
File Attachments (if required).
State Contractors License
File Description
	*This file type is not allowed. List of supported file types.
*Cumulative file size can not exceed 89MB. Please reduce the size of your files and try again.