State of Rhode Island and Providence Plantations s4

State of Rhode Island and Providence Plantations s4

<p> INITIAL AND RENEWAL APPLICATION FOR LIMITED PREMISE AND LIMITED MAINTENANCE ELECTRICAL LICENSE</p><p>Limited Premise/Class C </p><p>Limited Maintenance/Class D</p><p>Please complete all information below and mail the same, along with the payment of $240.00 to the Division of Workforce Regulation and Safety, PO Box 20247, Cranston, RI 02920. </p><p>Company Name: ______</p><p>Address: ______</p><p>City: ______State: ______Zip: ______</p><p>E-Mail address: ______Phone: (401) ______</p><p>Licensed Electrician(s) name and license number (s). </p><p>Apprentices and Registration number(s): </p><p>Please be aware that this license is for the listed premise only. </p><p>Description of the premise to be licensed</p><p>If further information is required please call this office at 462-8529. </p><p>______Responsible Electrician Signature Date THE LIMITED PREMISE LICENSES/CLASS C AND LIMITED MAINTENANCE LICENSES/CLASS D ISSUED BY THE DEPARTMENT OF LABOR AND TRAINING/DIVISION OF PROFESSIONAL REGULATION SHALL INCLUDE A DESCRIPTION OF THE PREMISES AND THE CONTENT FOR THE EQUIPMENT THEREIN. </p><p>THE WORD PREMISES AS USED FOR LIMITED MAINTENANCE LICENSE/CLASS D SHALL MEAN AN EXISTING BUILDING OWNED OR OCCUPIED BY THE LICENSE HOLDER. IT SHALL NOT MEAN NEW CONSTRUCTION AND/OR AN ADDITION TO AN EXISTING BUILDING. THE WORD PREMISES AS USED FOR THE LIMITED PREMISE LICENSES/CLASS C SHALL MEAN AN EXISTING BUILDING AND/OR LAND OWNED OR OCCUPIED BY THE LICENSE HOLDER. </p><p>THE LIMITED PREMISE LICENSE/CLASS C SHALL AUTHORIZE A PERSON, FIRM OR CORPORATION THE RIGHT TO INSTALL, REPAIR, AND/OR MAINTAIN ELECTRIC WIRES, DEVICES, APPLIANCES AND EQUIPMENT ON THE PREMISES. </p><p>THE LIMITED MAINTENANCE LICENSE/CLASS D SHALL AUTHORIZE A PERSON, FIRM OR CORPORATION THE RIGHT TO REPAIR AND/OR MAINTAIN EXISTING ELECTRIC WIRES, DEVICES, APPLIANCES AND EQUIPMENT ON THE PREMISES. </p>

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