CITY OF ROCK
ISLAND, ILLINOIS
Chief Electrical Inspector: KEN MULKEY
Assistant Electrical
Inspector: ______________________________________________________________
Office Address _1528 –
3rd Avenue
__ ___ Office Hours from _8:00___
a.m. to _4:30__ p.m.
Permits _Rock Island, _IL_______ 61201 Inspectors
can be contacted from:
(City) (State) (Zip) _8:00___ a.m. to _2:00__ p.m.
Office Phone No. _( 309 )___________732-2910 ____________ Home calls accepted:
Yes _____ No _X____
(Area Code) (Number) Residence
Phone Number: ________________
YES NO
ELECTRICAL CONTRACTORS LICENSE REQUIRED......................................................................................................... ² ˜
LICENSE FEE – Original $_25.00___ Renewal $_25.00____
License
Examination Required ( Copy of Master Electrician Test Results )......................................................................... ² ˜
Examination Fee $_ ____
Examinations held (Dates)
SUPERVISING ELECTRICIANS LICENSE REQUIRED......................................................................................................... ˜ ²
LICENSE FEE – Original $_________ Renewal $__________
License
Examination Required...................................................................................................................................................... ˜ ˜
Examination Fee $_________
Examinations held (Dates)
_____________________
ALL LICENSES EXPIRE (Date)_Annually on April 1st _
NATIONAL ELECTRICAL CODE ADOPTED
(Year)_1996 ................................................................................................. ² ˜
OTHER LOCAL ELECTRICAL CODES
(Type)_Addendums to NEC_................................................................................ ² ˜
ELECTRICAL ORDINANCE.......................................................................................................................................................... ˜ ˜
INSPECTION REQUIRED.............................................................................................................................................................. ˜ ˜
PERMITS FOR MUNICIPAL BUILDINGS................................................................................................................................. ˜ ˜
PERMITS FOR SCHOOL BUILDINGS ( Not for Public Schools )....................................................................................... ˜ ²
FEES FOR SCHOOL BUILDINGS............................................................................................................................................... ˜ ˜
JOURNEYMAN ELECTRICIAN EXAMINATION..................................................................................................................... ˜ ˜
Journeyman Electrician Fee $___________
MASTER ELECTRICIAN CERTIFICATE REQUIRED............................................................................................................ ˜ ˜
A BOND IS REQUIRED (Amount)_$_____________............................................................................................................. ˜ ˜
Utility Serving the Area ___Mid
American Energy ___________________________________
Address
of Utility 206 E. 2nd Street, Davenport,
IA ___
(Street) (City) (State)
(Zip)
CHIEF BUILDING
INSPECTOR: (Name) _Tom Ayers _______________________________________
MODEL BUILDING CODE
USED: ˜ BOCA ² Uniform ˜ National
˜ Southern ˜ Other
COMMENTS: __________________________________________________________________________________________
______________________________________________________________________________________________________
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