"Application for Power Engineer" - Prince Edward Island, Canada

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Download "Application for Power Engineer" - Prince Edward Island, Canada

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Application for
Power Engineer
License
 
 
 
 
Personal information on this form is collected under section 31(c) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, c. F-15.01, as it
relates directly to and is necessary for processing an application for new and renewal of a Power Engineer License. If you have any questions about the collection
of this personal information, please contact the Chief Officer Boiler Inspector, Department of Agriculture and Land, Land Division, Inspection Services Branch at
31 Gordon Drive, PO Box 2000, Charlottetown, PE C1A 7N8 Telephone (902) 368-5280.
 
 
Applicant Information
Name:
Phone:
Mailing Address:
City:
Prov:
Postal Code:
Email:
 
License Class
 
First Class
Second Class
Third Class
Fourth Class
Refrigeration “A”
Refrigeration “B”
Biomass Operator
Current License #’s__________________________
 
Fee
 
Renewal fee is $40.00 per license for each year of renewal.
 
The licensing period occurs for a period of five years with all licenses due to expire on December 31, 2024.
 
Number of licenses
x number of years
x $40 = $
total fee.
 
Please make cheque(s) must be made payable to the Minister of Finance.
 
Please forward a completed application, together with the appropriate fee, to the Department of Agriculture and Land,
Land Division, Inspection Services Branch, 31 Gordon Drive, PO Box 2000, Charlottetown, PE C1A 7N8.
 
I hereby certify that the information that provided on this form is true and complete, to the best of my knowledge and ability.
 
 
Applicant Signature:
Date:
 
 
 
 
 
Administration Use Only: License(s) Renewed:
Receipt No.:
 
Date of Renewal:
Fee Received $:
Database Updated: Yes
No
 
 
 
 
 
 
 
 
 
 
 
 
Application for
Power Engineer
License
 
 
 
 
Personal information on this form is collected under section 31(c) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, c. F-15.01, as it
relates directly to and is necessary for processing an application for new and renewal of a Power Engineer License. If you have any questions about the collection
of this personal information, please contact the Chief Officer Boiler Inspector, Department of Agriculture and Land, Land Division, Inspection Services Branch at
31 Gordon Drive, PO Box 2000, Charlottetown, PE C1A 7N8 Telephone (902) 368-5280.
 
 
Applicant Information
Name:
Phone:
Mailing Address:
City:
Prov:
Postal Code:
Email:
 
License Class
 
First Class
Second Class
Third Class
Fourth Class
Refrigeration “A”
Refrigeration “B”
Biomass Operator
Current License #’s__________________________
 
Fee
 
Renewal fee is $40.00 per license for each year of renewal.
 
The licensing period occurs for a period of five years with all licenses due to expire on December 31, 2024.
 
Number of licenses
x number of years
x $40 = $
total fee.
 
Please make cheque(s) must be made payable to the Minister of Finance.
 
Please forward a completed application, together with the appropriate fee, to the Department of Agriculture and Land,
Land Division, Inspection Services Branch, 31 Gordon Drive, PO Box 2000, Charlottetown, PE C1A 7N8.
 
I hereby certify that the information that provided on this form is true and complete, to the best of my knowledge and ability.
 
 
Applicant Signature:
Date:
 
 
 
 
 
Administration Use Only: License(s) Renewed:
Receipt No.:
 
Date of Renewal:
Fee Received $:
Database Updated: Yes
No