ELECTRICAL PERMIT

GLENWOOD BUILDING DEPARTMENT
ONE ASSELBORN WAY, GLENWOOD, IL 60425
OFFICE 708-753-2416 FAX 708-753-2406
ELECTRICAL PERMIT
Permit No
Permit Cost
Owner
Address
SERVICE:
CIRCUITS
Number
ADDED OUTLETS:
GFI CIRCUITS
Type a question
ESTIMATED COST:
Type a question
Single Family Residential Multi-Family Residential Commercial

Total Sq. Ft. Total Sq. Ft. Total Sq. Ft. Total Sq. Ft.
Comments
Electrical Contractor
Signature of Supervising Electrician

Clear
Address

Address

Street Address Line 2

CityState

Zip Code
Phone
All work must be done in accordance with the Ordinances of the Village of Glenwood. This department must be notified for inspection not less than 24 hours before closing in any conduit or other electrical material used.

No occupancy permit will be issued until final inspection is made and passed.
Signature

Clear
Date

MonthDayYear
Date
Building Department
Date

MonthDayYear
Date
Should be Empty:

GLENWOOD BUILDING DEPARTMENT