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.gov
House Meter Affidavit
Permit #_________________________
Date: ______________
I, _____________________________ owner of the property located at:
_____________________________________ in the City of Providence do hereby apply for a
house meter to control electrical circuits that supply power to common areas only.
By signing this affidavit I fully agree that this meter will only be used for the common areas. Any
alterations to this service will only be made after the Electrical Inspection Division has issued a
new permit.
Be aware that section 2704.1 of the Rhode Island State Building Code states: “It shall be
unlawful to use or allow the use of, or to supply current for electrical system in a building or
structure unless the required certificate of inspection and permit have been issued by the code
official”
I fully understand that if the conditions of this affidavit are broken and this service is altered
without the proper permit, power will be shut off to the building without notice. I accept full
responsibility for this action and I understand neither the City of Providence or the Electrical
Inspector can be held responsible for any liability for losses due to this action.
OWNER SIGNATURE:
OWNER (PRINT NAME:
OWNER ADDRESS:
CITY, STATE, ZIP:
PHONE NUMBER:
NOTARY:
click to sign
signature
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