Fillable NEW REGISTRATION APPLICATION FOR PLUMBERS CERTIFICATE Master Plumber (Harford County Government)

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NEW REGISTRATION APPLICATION FOR PLUMBERS CERTIFICATE Master Plumber (Harford County Government)

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The NEW REGISTRATION APPLICATION FOR PLUMBERS CERTIFICATE Master Plumber (Harford County Government) form is 1 page long and contains:

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  • 15 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Harford County Government

BROWSE HARFORD COUNTY GOVERNMENT (MD) FORMS

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NEW REGISTRATION APPLICATION FOR PLUMBERS CERTIFICATE
Master Plumber / Master Gas Fitter / Liquefied Petroleum / Journeyman
220 SOUTH MAIN STREET
BEL AIR, MARYLAND 21014
(410) 638-3215
FAX (410) 879-8203
MASTER PLUMBER – GAS FITTER $90 LIQUIFIED PETROLEUM (L.P.) $70
MASTER GAS FITTER $90 JOURNEYMAN PLUMBER GAS FITTER $30
This a two year license which renews April 30
th
of even numbered years.
PLEASE PROVIDE PAYMENT AND THE FOLLOWING DOCUMENTS AT TIME OF APPLICATION
CERTIFICATE OF INSURANCE NAMING HARFORD PLUMBING BOARD AS CERTIFICATE HOLDER
CURRENT STATEWIDE LICENSE OR RECIPROCAL COUNTY LICENSE
COPY OF DRIVER’S LICENSE OR PHOTO ID
NAME: _____________________________________________________________________________
LAST FIRST MI
ADDRESS: _________________________________________________________________________
CITY/STATE/ZIP: ___________________________________________ PHONE _________________
APPLICANT E-MAIL ________________________________________________________________
FIRM NAME: ______________________________________________PHONE __________________
FIRM ADDRESS_____________________________________________________________________
FIRM E-MAIL _____________________________________________________________________
APPLICANT SIGNATURE: ________________________________________DATE: _____________
THE FOLLOWING INFORMATION REQUIRED ONLY FOR MASTER APPLICATION:
STATE LICENSE NUMBER: _________________________________
NUMBER OF APPRENTICES EMPLOYED: ____________________
NUMBER OF JOURNEYMAN EMPLOYED: ____________________
(LIST JOURNEYMAN NAMES AND ADDRESSES ON REVERSE SIDE)
Revised Oct 2020
CLEAR FORM
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NEW REGISTRATION APPLICATION FOR PLUMBERS CERTIFICATE Master Plumber (Harford County Government)

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Completed 13 February 2021

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