APPLICATION FOR CITY OF DALLAS REPAIR LICENSE
Department of Code Compliance – Consumer Protection Division
MOTOR VEHICLE REPAIR - $57.00 |
HOME REPAIR - $48.00 |
Additional Location for MVP License - $75.00 |
Additional Location for Home Repair License - $48.00 |
Replacement License - $2.00 |
Replacement License - $2.00 |
ELECTRONIC REPAIR - $53.00 |
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Additional Electronic Repair License - $4.00 |
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Replacement License - $4.00 |
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(FOR OFFICE USE ONLY) |
ACCOUNT NUMBER: __________________________________ |
DATE PAID: _________ / _________ / _________ |
LICENSE NUMBER: ____________________________________ |
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EXPIRATION DATE: _________ /_________ / _________ |
FEE PAID: ________________PERMIT #: ______________ |
PAYOR: _________________________________________________________________
(If different than customer/applicant, capture address, C/S/Z, phone number)
ADDRESS: _______________________________________________________________________
CITY: ___________________________ STATE: _______ ZIP: _________- _________ PHONE: (_____) _________ - ___________
ALL FEES ARE NON-REFUNDABLE |
LICENSE IS NOT TRANSFERABLE |
MAKE CHECK OR MONEY ORDER PAYABLE TO: City of Dallas |
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TO PAY IN PERSON: |
City of Dallas |
OR MAIL PAYMENT TO: City of Dallas |
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Special Collections |
Special Collections Division |
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1500 Marilla St. Room 2DS |
PO Box 139076 |
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Dallas, TX 75201 |
Dallas, TX 75313-9076 |
The City of Dallas does not accept payments in the field.
Business Name:
Business Address:
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(Physical Location) |
Street |
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Suite |
City/State |
Zip Code |
Mailing Address (if different): |
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Business Phone |
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Fax |
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Cell Phone |
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Home Phone |
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Email: |
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Type of ownership: |
Individual |
Partnership |
Corporation |
Other |
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If incorporated, name registered with Secretary of State
Federal ID#
NAME AND ADDRESS OF REGISTERED AGENT
OR INDIVIDUAL
AUTHORIZED TO BE SERVED FOR ADMINISTRATIVE AND LEGAL PROCESS RELATIVE TO THE CITY OF DALLAS REPAIR ORDINANCES.
Name |
Mailing Address |
Zip Code |
Number |
CCS-FRM-257 |
Effective Date 11/11/2019 |
Rev 9 |
If not incorporated, ownership information: 1.
NameHome AddressTelephone#D.O.B.TX. DL#
2.
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Name |
Home Address |
Telephone# |
D.O.B. |
TX. DL# |
Do you operate a Tire establishment other than listed above? YES |
NO |
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If YES, provide information below. |
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Business name and address (list only if located within the City of Dallas) |
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Business Name |
Address |
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Zip |
ATire Shop Establishment License Application (CCS-FRM-227) must be filed for each separate tire shop establishment within the City of Dallas.
To your knowledge, has any current employee of this business been convicted of a violation of any provision of the ordinance
pertaining to the type of repair license applied for? |
YES |
NO |
If YES, provide details |
If incorporated, has the business been convicted of a violation of any provision of the ordinance pertaining to the type of repair
license being applied for? |
YES |
NO |
If YES, provide details |
MOTOR VEHICLE REPAIR AND ELECTRONIC REPAIR BUSINESSES MUST HAVE A VALID CITY OF DALLAS CERTIFICATE OF OCCUPANCY OR HAVE APPLIED FOR A CERTIFICATE OF OCCUPANCY INSPECTION REQUEST AND MUST PROVIDE A COPY OF YOUR VALID CERTIFICATE OF OCCUPANCY OR CERTIFICATE OF OCCUPANCY INSPECTION REQUEST (if applicable) WITH LICENSE APPLICATION.
PLEASE PROVIDE A LEGIBLE COPY OF THE PERSON IN CONTROL DRIVER’S LICENSE OR APPROVED IDENTIFICATION CARD.
As owner, proprietor, partner, corporate officer, or authorized agent of the above firm, I certify that the firm will/does engage in Motor Vehicle/ Mobile Motor Vehicle/Home/ Electronic Repair within the City of Dallas as defined in Chapter 50 of the Dallas City Code. I further certify that all facts stated in the application are true and correct to the best of my knowledge and belief.
Signature: |
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Date: |
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Date of Birth: |
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TX. D.L#: |
Home Phone: |
Home Address: |
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THE DIRECTOR OF THE DEPARTMENT OF CODE COMPLIANCE MUST BE NOTIFIED OF ANY CHANGE OF ADDRESS, OWNERSHIP OR MANAGEMENT WITHIN (10) DAYS OF SUCH CHANGE.
NOTICE: An applicant who purchases a City of Dallas Repair License and whose check or draft is returned by their financial institution for any reason, will be considered to be engaged in the repair business without a valid license.
In the event your check is returned for insufficient or uncollected funds, we may represent your check electronically.
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For Code Compliance Use Only |
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Establishment has been inspected and meets minimum Health and Sanitation Standards for operation. (Chapter 19-34.1) |
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Approved |
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Denied |
Inspector: |
Date: |
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CCS-FRM-257 |
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Effective Date 11/11/2019 |
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Rev 9 |