Electrical License Application (County Reciprocal) Form - Department Of Inspections And Permits - Anne Arundel County Maryland

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Licensing Division, MS 6006
Department of Inspections and Permits
2664 Riva Road, Annapolis, MD 21401
Telephone: (410) 222-7788
Fax: (410) 222-4488
APPLICATION FOR ELECTRICIAN LICENSE – COUNTY RECIPROCITY
There are three classes of electrician’s licenses; please check the one for which you are applying:
( ) Master General Electrician (B3) – may perform all electrical work.
( ) Master Limited Electrician (B4) – performs work from existing distribution system in premises occupied by the
licensee.
( ) Restricted Electrician (B2) – performs installations from point of distribution to the equipment being installed.
Name___________________________________________ A.A. Co. License # ____________________
LEAVE BLANK
Home Address ________________________________________ Home Phone ____________________
__________________________________________________ Zip _________________
Company__________________________________________ Company Phone ____________________
Company Address _____________________________________________________________________
__________________________________________________ Zip _______________
E-Mail Address _______________________________________________________________________
INSTRUCTIONS
1. Applicants for an Anne Arundel County license must hold and submit a copy of the ACTIVE (insured)
COUNTY license for reciprocation.
2. Enclose a check or money order in the amount of $85 payable to Anne Arundel County, Maryland.
3. Enclose a Certificate of Liability Insurance naming ANNE ARUNDEL COUNTY AS A CERTIFICATE
HOLDER. Minimum limits of liability are $300,000 bodily injury and $100,000 property damage. Show proof
of Worker’s Compensation.
4. Attach a letter from the inspection bureau having jurisdiction, verifying that you have no current violations over
thirty days old. Letters must be originals and not be over thirty days old.
5. Submit a letter from an electrical board of any sub-division of the State of Maryland where you presently hold a
license. This letter must state that your license is in good standing, how it was issued and the date of issuance.
If you are installing alarms, include a copy of your state security systems technician card, unless you are
applying for a Master Limited Electrician license.
Have you ever held an Electrical license in Anne Arundel County prior to this application? _______
If so, please provide the license number here ________________.
Are you a U. S. Citizen? YES NO (If no, attach a copy of your work authorization or permanent resident card)
Return all materials from Steps 1-5 AND this application to:
INSPECTIONS & PERMITS LICENSE SECTION – MS 6006
2664 RIVA ROAD, ANNAPOLIS MD 21401
__________________________________________________
_________________________
Signature of Applicant
Date
INCOMPLETE APPLICATIONS WILL BE RETURNED WITHOUT ACTION
Electrical – county reciprocity
Revised January 2013

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