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ELECTRICAL LICENSE APPLICATION - Kentucky

Form EL-3 (May 2020) Public Protection Cabinet Department of Housing, Buildings and Construction Licensing Branch 500 Mero Street Frankfort, Kentucky 40601 502-573-2002 Fax: 502-573-1598 ELECTRICAL LICENSE APPLICATION Please type or print APPLICATION . Answer all questions on this APPLICATION . A nonrefundable APPLICATION fee or renewal fee of $100 for a Master Electrician applicant and $50 for an Electrician applicant payable to Kentucky State Treasurer shall be submitted with this APPLICATION . Initial APPLICATION Renewal APPLICATION 1. Designate the type of LICENSE : Master Electrician LICENSE Electrician LICENSE 2. Name: _____ Last First MI Address: _____ (Street, Route, or Box Number) City: _____ State: _____ Zip: _____ County: _____ Telephone: (_____) _____ -_____ Birth Month: _____ LICENSE # (if renewal): _____

Answer all questions on this application. A nonrefundable application fee or renewal fee of $100 for a Master Electrician applicant and $50 for an Electrician applicant payable to Kentucky State Treasurer shall be submitted with this application. Initial Application Renewal Application . 1. Designate the type of license:

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