Town of Jamestown, RI
 
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Instructions

Please complete the application, then click the "Next" button below. For help on any field, move the mouse over the field name.

Instructions
Please submit an initial application fee of $12.70 +$7 fee totaling $19.70, per application. Wait list renewals are mailed December 1 of each year, and a $12.70 +$7 totaling $19.70 wait list renewal fee, per application renewal, is due at that time.
Provider Name
Town of Jamestown
Provider Mailing Address
Harbor Office
250 Conanicus Avenue
Jamestown, RI 02835
Provider Phone
401-423-7190
Provider FAX
Provider Email
jrich@jamestownri.net

Application

Application Type
Mooring Permit
Permit Class

Applicant

Mobile Phone
First Name
Last Name
Contact Information
Mailing Street
Mailing City
Mailing State
Mailing Zip
Local City
Local State
Local Zip Code
Home Phone
Email Address
Additional Information
Applicant Comments
Resident of Jamestown?
Taxpayer in Jamestown?

Vessel

Registration State
Decal or USCG Doc #
Boat Name
Hull ID
Boat Type
Size
Length (ft)
  feet     inches
Beam (ft)
  feet     inches
Draft (ft)
  feet     inches
Displacement
Characteristics
Year Built
Boat Make
Boat Model
Boat Color
Trim Color
Sail Color
Insurance
Insurer Name
Insurer Address
Insurer Phone
Insurance Policy Number
Other
Sleeping Accommodations
Vessel Photo(s)
(Maximum file size=10MB)
Boat Number
Boat Comments

Wait List

Wait List Selection
Select up to 1 list(s):
List Name
A
C
CMC
D
E
F
G
H
The codes refer to areas on the following chart:

Attachments

Please provide attachments below, preferably in a PDF or image format. To convert a paper document to electronic format, take a photo of the document.
If you can't provide an electronic copy, you can submit a paper copy offline.
If we have a current copy on file, you will see a link to it. Update the attachment if it has changed, or if requested.
Boat Registration
Filename
 
(Maximum file size=10MB)

Acceptance

Terms and Conditions
I hereby affirm that all information above is correct to the best of my knowledge.

R.I.G.L. 11-33-1(a) Every person under oath or affirmation who knowingly makes any false material declaration or makes or uses any other information, including any book, paper, document, record, recording, or othe rmaterial, knowing it contains any false material declaration, shall be deemed guilty of perjury.

I have read and understand the Online Mooring User Terms and Conditions
I have read and accept these terms
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