Fillable Department of Inspection and Standards (City of Providence)

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Department of Inspection and Standards (City of Providence)

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Department of Inspection and Standards
Jorge O. Elorza, Mayor
Joseph M. Atchue, Director/Building Official
Mayor Joseph A. Doorley Municipal Building
444 Westminster Street | Providence, Rhode Island 02903 | 401-680-5360 | 401-680-5481f
www.providenceri.com
OWNER’S CONTRACTOR RELEASE FORM
To: Department of Inspections and Standards
Permit #_________________________
I,
Owner’s name
Owner’s address
Owner’s phone number
For whom the Electrical work was being performed at
Address where work is being performed
In the City of Providence, request your approval to substitute the following contractor
New contractor & License #
In Lieu of:
Previous contractor & license # who was originally doing the work
Owner’s Signature Date
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Department of Inspection and Standards (City of Providence)

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Completed 24 January 2021

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