APPLICATION FOR RENEWAL OF ELECTRICAL LICENSE(S)

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1 Department of Permitting, Inspections and Enforcement PERMITTING & LICENSING DIVISION Business Licensing Center 9400 Peppercorn Place, 1st Floor Largo, Maryland u FAX: APPLICATION FOR RENEWAL OF ELECTRICAL LICENSE(S) Please print clearly. License #: Business Name: Business Address: Business Telephone #: License #: Master/ LTD Master Name: Home Address: Home Telephone #: Furnish two (2) identical full front facing photos 1"x 1 1/2" in size Photos MUST be placed and MUST fit in these boxes NO EXCEPTIONS If there have been any changes in the ownership, designated master, address or other pertinent information since the issuance of the previous license, please list changes and explain: CHECK TYPE OF LICENSE(S) TO BE RENEWED Check one only. TOTAL FEES Master Electrician Unlimited (EM) $ % Technology Fee of $6 for a total of $ $336 and Contractor (EC) $ % Technology Fee of $10 for a total of $210 Master Electrician Limited (EE) $ % Technology Fee of $6 for a total of $ $336 and Contractor Limited (EL) $ % Technology Fee of $10 for a total of $210 Associate Master/ Master Limited (EM or EE).... $126 I wish to have my Master s Unlimited/ Master s Limited License placed on inactive status. (Shelved)... $126 PENALTY FOR LATE RENEWAL Within 30 days after expiration date $150 Between 31 days and 60 days after expiration date $200 LICENSES CANNOT BE RENEWED AFTER 60 DAYS Amount Enclosed: $ All fees MUST be made payable to Prince George s County. (Fees are NON-REFUNDABLE.) ADDITIONAL FEES DUE Submit with Application: Certificate of Liability Insurance, indicating Prince George s County as the certificate holder and must include the complete address Copy of current State of Maryland Construction Firm License or MHIC License (A copy of your State of Maryland Statewide Master Electrician s License is NOT acceptable) Application WILL NOT be accepted without Continuing Education Unit Documentation (10 hours) Signature of Contractor/ Owner Date Signature of Master/ Master LTD Date P.G.C. DPIE Form #P&L-L012 (Rev. 6/15) Page 1 of 7

License #: Business Name: Business Address: Business Telephone #: License #: Master/ LTD Master Name: Home Address: Home Telephone #: Furnish two (2) identical full front facing photos 1"x 1 1/2" in

2 Board of Registration for Master Electricians, Journeyman Electricians, Apprentice Electricians, Electrical Contractors and Electrical Subcontractors CONTINUING EDUCATION APPROVAL FORM REQUIREMENTS The Board of Registration for Master Electricians, Journeyman Electricians, Apprentice Electricians, Electrical Contractors, and Electrical Subcontractors has prepared a Board-approved listing of recognized colleges, institutions, trade schools and training programs accepted to satisfy the Continuing Education requirements in Prince George s County. Please see attachment for the Board-approved listing. Per the Prince George s County Code (Subtitle 2, Division 14B, Section (e)), ALL active Master Electricians and Master Electricians Limited are required to obtain ten (10) hours of Continuing Education Units (CEU s) for license renewals. Courses MUST relate to the current National Electrical Code (NEC) and any changes or updates. Licenses approved by the Board and issued by the Permitting & Licensing Division are valid for a period of two (2) years from the date of issuance. Such licenses are thereby subject to biennial renewal. The Permitting & Licensing Division notifies licensees of the upcoming license expiration date sixty (60) days prior to that date. The Continuing Education Approval Form must be completed and submitted to the Board for review for ANY courses taken from places not listed on the Board s approved listing and any courses the Permitting & Licensing Division deems necessary for Board review. Course certificates from the training institution are required as verification of course completion. Verifications must include the name of the training institution, the course title, the number of CEU s and the date(s) of the course. Board approved CEU verifications must be submitted to the Permitting & Licensing Division: Prince George s County Department of Permitting, Inspections and Enforcement Permitting & Licensing Division Business Licensing Center 9400 Peppercorn Place, 1st Floor Largo, Maryland (301) Page 2 of 7

recognized colleges, institutions, trade schools and training programs accepted to satisfy the Continuing Education requirements in Prince George s County.

3 Board of Registration for Master Electricians, Journeyman Electricians, Apprentice Electricians, Electrical Contractors and Electrical Subcontractors CONTINUING EDUCATION APPROVAL FORM Per Section (e) of the Prince George s County Code, continuing education credits are required as a condition of licensing renewal. Active Prince George s County licensees must obtain ten (10) hours of Continuing Education Units (CEU s) for every 2-year renewal cycle. Please print clearly. Name of Institution: Address: Applicant Name: Phone #: Applicant Address: Training Course Title: Course Description: * DO NOT WRITE BELOW THIS LINE OFFICE USE ONLY * Comments: Board Approved Board Disapproved Chairman Date Page 3 of 7

Active Prince George s County licensees must obtain ten (10) hours of Continuing Education Units (CEU s) for every 2-year renewal cycle. Please print clearly.

4 CONTINUING EDUCATION UNIT COURSES COURSE TITLE CEU HOURS COURSE DESCRIPTION Page 4 of 7

5 Board of Registration for Master Electricians, Journeyman Electricians, Apprentice Electricians, Electrical Contractors and Electrical Subcontractors APPROVED LISTING OF RECOGNIZED COLLEGES, INSTITUTIONS, TRADE SCHOOLS AND TRAINING PROGRAMS ACCEPTED TO PROVIDE CONTINUING EDUCATION COURSES ACR Construction Education LLC 5608 General Washington Drive Alexandria, VA (703) Bar Construction Institute Associated Builders and Contractors, Inc. Cumberland Valley Chapter 530 N. Locust Street Hagerstown, MD (301) Bay Area Inspection Agency 105 Brown Court Elkton, MD (410) Blue Volt 2828 SW Corbett Avenue, Suite 208 Portland, OR (503) ext Carroll Community College 1601 Washington Road Westminster, MD (410) Chesapeake Chapter I.A.E.I. Code Workshop Gilbert L Thompson 7716 Chapman Road Kingsville, MD (410) Chesapeake College Cambridge Center Race Street Cambridge, MD (410) Chesapeake College Wye Mills Campus 1000 College Drive Wye Mills, MD (410) Code Instruction Services, Inc Michael Avenue Easton, MD (410) College of Southern Maryland La Plata Campus 8730 Mitchell Road P.O. Box 910 LaPlata, MD (301) College of Southern Maryland Leonardtown Campus Hollywood Road Leonardtown, MD (240) College of Southern Maryland Prince Frederick Campus P.O. Box 3709 Prince Frederick, MD (301) Page 5 of 7

acrtec.net Bar Construction Institute Associated Builders and Contractors, Inc. Cumberland Valley Chapter 530 N. Locust Street Hagerstown, MD 21740 (301) 739 1190 www.abccvc.

6 Approved listing of recognized colleges, institutions, trade schools and training programs accepted to provide continuing education courses (continued) College of Southern Maryland Waldorf Center 261 Old Washington Road Waldorf, MD (301) Community College of Baltimore County Catonsville 7200 Sollers Point Road Dundalk, MD (410) Institute for Technical Advancement, LLC P.O. Box 248 Martinsville, NJ (908) International Association of Electrical Inspectors George Washington Chapter 3419 Forty-First Avenue Colmar Manor, MD (301) Education Direct Business & Industrial Division 301 Rosin Drive Chestertown, MD (800) Electrical League of Maryland 518 S. Camp Meade Road, Suite 6 Linthicum, MD (410) EMF Electrical Training Bushy Park Road Woodbine, MD Fairfax County Public Schools Adult & Community Education 772 Spindle Court Centreville, VA (703) Frederick Community College 7932 Oppossumtown Pike Frederick, MD (301) International Brotherhood of Electrical Workers Local Union #26 JATC 4371 Parliament Place, Suite A Lanham, MD (301) Keis, Robert H. 103 Delshire Drive Dover, DE (302) Krannich Solar, Inc Commerce Parkway, Suite A Mt. Laurel, NJ (856) , ext. 207 d.kirilova@usa.krannich-solar.com Lincoln Technical Institute 9325 Snowden River Parkway Columbia, MD (410) Metropolitan Electrical Contractors Association P.O. Box 1438 Olney, MD Independent Electrical Contractors Chesapeake E Odenton Road Odenton, MD (800) Mike Holt Enterprises 3604 Parkway Boulevard, Suite 3 Leesburg, FL (888) NEC CODE Page 6 of 7

edu Institute for Technical Advancement, LLC P.O.

7 Approved listing of recognized colleges, institutions, trade schools and training programs accepted to provide continuing education courses (continued) Montgomery College Germantown Campus Observation Drive Germantown, MD (301) National Security Training Academy, LLC Old Gallivan Terrace Ashburn, VA (703) Montgomery College Rockville Campus 51 Mannakee Street Rockville, MD (301) National Technology Transfer 7337 S. Revere Parkway Centennial, CO (800) Montgomery College Takoma Park Campus 7600 Takoma Avenue Takoma Park, MD (301) PF Electrical Training Provider 903 Truro Lane Crofton, MD (301) M.S. Electrical Training, LLC 2023 Meadown Drive Westminster, MD (410) My Electrical CEU P.O. Box Spokane, WA (509) Prince George s Community College Workforce Development & Continuing Education 301 Largo Road Largo, MD (301) Robinson, Wayne H. 671 Teton Drive Lothian, MD (443) National Association of Elevator Safety Authority 8805 North 23rd Avenue, Suite 530 Phoenix, AZ (602) National Code Seminars 253 Oak Forest Trail Pelham, AL (877) TESST College of Technology 1520 South Caton Avenue Baltimore, MD (410) Village Electric Company, Inc. P.O. Box 991 Clemmons, NC (888) National Fire Protection Association P.O. Box 1166 Rehoboth Beach, DE (800) Page 7 of 7

com Montgomery College Rockville Campus 51 Mannakee Street Rockville, MD 20850 (301) 279 5000 www.cms.montgomerycollege.edu National Technology Transfer 7337 S.

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