Roxana, IL · Madison County
Electrical Permit Request
Contractors or homeowners use this request to provide project and contact details when seeking an electrical permit from the Village of Roxana.
What this form is
The Village of Roxana Electrical Permit Request collects contractor or homeowner contact information, the job address or directions, inspection type, and scope of work. The document states that a permit is required 48 hours before work begins; if a licensed contractor performs the electrical work, a copy of the Certificate of Insurance is required before the permit is issued.
Who needs it
A contractor or homeowner seeking an electrical permit for work in the Village of Roxana needs this request.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is completed without a notary; the signer just signs and dates it, and no notarized or sworn attachment is mentioned.
How to submit this form
- 1
Download The Request
Download the Electrical Permit Request PDF.
- 2
Complete The Request
Provide the contractor or homeowner details, job address or directions, inspection type, and scope of work.
- 3
Gather Required Insurance Document
If a licensed contractor performs the electrical work, include a copy of the Certificate of Insurance before the permit is issued.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who uses the Electrical Permit Request?
- A contractor or homeowner seeking an electrical permit in the Village of Roxana uses this request to provide project and contact details.
- What information does the request ask for?
- It asks for contractor or homeowner information, a date, contact details, job address or directions, inspection type, and scope of work.
- Do I need a notary for the Electrical Permit Request?
- No. This document is completed without a notary; the signer just signs and dates it, and no notarized or sworn attachment is mentioned.
- How do I submit the Electrical Permit Request?
- Submit it to the city department named on the form; check the city website for current contact details.