CITY OF GALENA,
ILLINOIS
Chief Electrical Inspector: BOB BROTHERIDGE
Assistant Electrical
Inspector: ______________________________________________________________
Office Address _312
½ N. Main Street __ ___ Office Hours from _ ___
a.m. to _ __ p.m.
For Mailing
Permits
Galena, _ _IL_______ 61036 Inspectors can be contacted from:
(City) (State) (Zip) _8:30___ a.m. to _4:30_ p.m.
Office Phone No. _( 815 )_________ 777-1050 ____________ Home calls accepted:
Yes _X__ No _ ____
(Area Code) (Number) Residence
Phone Number: ________________
YES NO
ELECTRICAL CONTRACTORS LICENSE REQUIRED......................................................................................................... ˜ ²
LICENSE FEE – Original $_ ___
Renewal $_ ____
License
Examination Required...................................................................................................................................................... ˜ ˜
Examination Fee $_ ____
Examinations held (Dates)
SUPERVISING ELECTRICIANS LICENSE REQUIRED......................................................................................................... ˜ ²
LICENSE FEE – Original $_________ Renewal $__________
License
Examination Required...................................................................................................................................................... ˜ ²
Examination Fee $_________
Examinations held (Dates) ____________
ALL LICENSES EXPIRE (Date)_Annually on December 31st
NATIONAL ELECTRICAL CODE ADOPTED
(Year)_ .......................................................................................... ² ˜
OTHER LOCAL ELECTRICAL CODES
(Type)_ _____________....................................................................................... ˜ ²
ELECTRICAL ORDINANCE.......................................................................................................................................................... ² ˜
INSPECTION REQUIRED.............................................................................................................................................................. ² ˜
PERMITS FOR MUNICIPAL BUILDINGS................................................................................................................................. ² ˜
PERMITS FOR SCHOOL BUILDINGS....................................................................................................................................... ² ˜
FEES FOR SCHOOL BUILDINGS............................................................................................................................................... ² ˜
JOURNEYMAN ELECTRICIAN EXAMINATION..................................................................................................................... ˜ ²
Journeyman Electrician Fee $___________
MASTER ELECTRICIAN CERTIFICATE REQUIRED............................................................................................................ ˜ ²
A BOND IS REQUIRED (Amount)_$_____________............................................................................................................. ² ˜
Utility Serving the Area ___Alliant
Energy __________________________________
Address
of Utility Dubuque, IA ___
(Street) (City) (State)
(Zip)
CHIEF BUILDING
INSPECTOR: (Name) _ _______________________________________
MODEL BUILDING CODE
USED: ˜ BOCA ² Uniform ˜ National
˜ Southern ˜ Other
COMMENTS: $ 25.00
registration fee required and copy of insurance bond required to work._____________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________ ______________________________________________________________________________________________________