County of St Clair 10 Public Square Phone (618) 825-2644 Belleville IL 62220 Fax (618) 277-0482 ELECTRICAL PERMIT Permit No. Parcel No: Date: Owner: Address of Property: City, State: Phone Number: Power Company Serving Property: ? Service Upgrade (Higher Amp) ? Service Upgrade and rewiring ? Other – Explain Electrician: Address: City, State: Phone: AN INSPECTION IS REQUIRED PRIOR TO FINAL HOOK-UP WITH LOCAL POWER COMPANY. PLEASE CONTACT ST. CLAIR COUNTY BUILDING & ZONING OFFICE AT (618) 825-2644 TO SCHEDULE INSPECTION AT LEAST 48 HOURS IN ADVANCE. Owner/Applicant Signature: ................................................................................................................................ Inspection Date: Inspector: ? Pass Power Co. Notified: ? Fail (Revised 12/28/2018) = Page 1 =