Town of Bristol, RI
 
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Instructions

Please submit this form using any of the contact methods provided below.

Instructions
Provider Name
Bristol
Provider Mailing Address
10 Court Street

Bristol, RI 02809-7000
Provider Phone
4012531700
Provider FAX
(401) 253-1706
Provider Email
jalves@bristolri.gov

Application

Reference Number
RKMFOEHC
Application Status
Unknown
Application Type
Bulkhead Permit
Power needed
Please circle one of the following:

Yes

Applicant

Mobile Phone
First Name
Middle Name
Last Name
Suffix
Contact Information
Mailing Street
Mailing City
Mailing State
Mailing Zip
Local Street Name
Local City
Local State
Local Zip Code
Home Phone (Summer)
Home Phone (Winter)
Work Phone
Email Address
Additional Information
Applicant Comments
Class
Please circle one of the following:

Commercial Fishing

Commercial Non Resident

Commercial Resident

Commercial Waterfront Business

Marine Business

Resident
Emergency Contact
Emergency Contact Phone
Emergency Contact E-mail

Vessel

Registration State
Reg or Doc #
Vessel Name
Hull ID
Vessel Type
Please circle one of the following:

Sail
Size
Length
  feet     inches
Beam
  feet     inches
Draft
  feet     inches
Characteristics
Vessel Make
Vessel Color
Accessories
MSD
Other
Vessel Photo(s)
(Maximum file size=10MB)
MSD Decal Number
MSD Certifying Agent
Vessel Comments

Berth

Inspection
Seasonal Status

Attachments

Attach a paper copy of each attachment listed below:
Boat Registration
Expiration Date
 
Vehicle Registration
Expiration Date
 
Driver’s License *
Expiration Date
 
Current Utility Bill *
Applicants Applying or Renewing their application and claiming Bristol,RI Residency MUST upload a current Utility Bill.
NOTE: The ONLY acceptable Utility Bills are electric or gas.
Commercial Fishing License
This is ONLY for Commercial Fishing and Marine Businesses. All other applications can check the Not Applicable box.
Not Applicable
Expiration Date
 
Proof Of Commercial Sales
Proof of commercial sales from said license for a minimum of 20 days during the previous season (this is just a check-off item to be made internally). This is ONLY for Commercial Fishing and Marine Businesses. All other applications can check the Not Applicable box.
Not Applicable
Dock and Bulkhead Marine Business Certificate
All Dock and Bulkhead Marine Businesses should upload their Business Certificate. Please check the Not Applicable box for all other application classes.

Acceptance

Terms and Conditions
I have read and understand the Town of Bristol's Mooring and Dock Regulations. I also understand that false information or violation of the Rules and Regulations could result in the loss of the dock permit. The applicant hereby swears that he or she is a Bristol resident and that all information submitted above is true to the best of his or her knowledge and that all fees must be paid in full by March 15th.

I understand and agree to all ordinances, dock agreement rules and regulations on file. Sec. 8-64. - Permitting slips at town docks

I have read and understand the Online Mooring User Terms and Conditions
Signature
Date
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