Transcription of Electrical License Application Mail application with ...
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Electrical License Application Mail application with ...
Page 1 440-2570 (1/08/COM) Electrical License Application Department of Consumer & Business Services Building Codes Division 1535 Edgewater St. NW, Salem, oregon Phone: (503) 373-1268 Fax: (503) 378-2322 Web: Mail Application with payment to: DCBS Fiscal Services Box 14610 Salem, OR 97309-0445 Important: Read the Application instructions before completing this form. Please complete all steps before submitting your Application and refer to the checklist at the end of this form. STEP 1 APPLICANT INFORMATION (please print) Last First Middle initial Name: Address (street or Box): City: State: ZIP: Phone: ( ) Fax: ( ) E-mail: Social Security number (Required, ORS ): Your Social Security number is required for BCD licenses, certifications, and registrations according to ORS , ORS , 42 USC 405 (c)(2)(C)(i), and 42 USC 666(a)(13).
Limited energy technician Class A (LEA) $50.00 Limited building maintenance electrician (BME) $50.00 ... • Commercial installations • HVAC • Industrial installations • Medical ... and maintenance Available only by completing an Oregon • Transportation and hoisting equipment apprenticeship maintenance and repair .
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