Pawtucket, RI · Providence County
Plumbing Homeowner Affidavit
The Plumbing Homeowner Affidavit is for a Pawtucket property owner seeking a permit who certifies ownership and states they will perform the work on the structure.
At a glance
- Issued by
- City of Pawtucket · Pawtucket, Providence County, Rhode Island
- Notarization
- Required: sign this form in front of a notary before filing it.
- Official source
- pawtucketri.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Pawtucket’s Division of Zoning and Code Enforcement form asks the property owner to identify the building and its Tax Assessor’s Plat and Lot, then certify ownership. The owner also attests they will perform all work on the structure and do not intend to hire an electrician; if that changes, the form says they will notify the Plumbing Inspector and hire a licensed plumber.
Who needs it
A property owner applying for a permit for a Pawtucket building who will perform all work on the structure should complete this affidavit.
Why it needs a notary
The form has a subscribed-and-sworn jurat; the property owner signs and swears to the affidavit before the notary public.
How to get this notarized
- 1
Download the Form
Get the Plumbing Homeowner Affidavit from the City of Pawtucket.
- 2
Review and Complete
Print your name and identify the building and Tax Assessor’s Plat and Lot; review the statements before signing.
- 3
Book an Online Notary
Schedule a remote notarization session with Rush Notary.
- 4
Sign on Video
Sign and swear to the affidavit during the video session with the notary.
- 5
Submit to the City
Submit the notarized affidavit to the City of Pawtucket as directed.
Preview the form
The blank PDF straight from Pawtucket. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the Plumbing Homeowner Affidavit?
- Print your name, identify the building and Tax Assessor’s Plat and Lot, and review the ownership and work statements. Sign and swear to the affidavit before the notary.
- Do I need to sign the affidavit in front of a notary?
- Yes. The form includes a subscribed-and-sworn jurat, so the property owner must sign and swear to the statements before a notary public.
- Can I use online notarization for this affidavit?
- Rhode Island permanently authorizes remote online notarization for its own notaries under R.I. Gen. Laws §42-30.1-12.1 and §42-30.1-12.2. A commissioned online notary can notarize your signature in a video session.
- Where do I submit the completed form?
- The form is from Pawtucket’s Division of Zoning and Code Enforcement. Confirm the submission method and destination with the city or town clerk if unsure.