HomeMy WebLinkAboutApplication for Iowa City Trade LicenseCITY OF IOWA CITY, IOWA
APPLICATION FOR TRADE LICENSE
This application must be filled out completely and in detail
and shall be on file with the Building Official.
Type of license for which you are applying:
Journeyman Electrician* Ducted Air Installer* Gas Pipe Installer
Master Electrician Hood Installer* Fire Alarm
Maintenance Electrician Journeyman Plumber*/Gas Fire Sprinkler Installer
Master HVAC Installer* Master Plumber/Gas Fire Sprinkler Maintenance
Residential HVAC Installer* Sewer and Water Installer Low Pressure Boiler
NAME
ADDRESS
C I T Y STATE ZIP
TELEPHONE NUMBER
PRESENT EMPLOYER
ADDRESS OF EMPLOYER
Have you ever had a trade license revoked? By whom?
And if so, give reasons:
Have you previously been examined for a trade license?
If so, state type and results of examination:
Was it approved?
Have you previously made an application for a City of Iowa City Trade License?
(over)
CITY HALL • 410 EAST WASHINGTON STREET • IOWA CITY, IOWA 52240 • (319) 356-5000
TRADE LICENSE APPLICATION - CITY OF IOWA CITY Page 2
TRADE SPECIFIC EMPLOYMENT RECORDS
(Give previous and present employers and complete address.)
EMPLOYER COMPLETE ADDRESS
DATES EMPLOYED: From t o
Type of Trade Related Work
EMPLOYER COMPLETE ADDRESS
DATES EMPLOYED: From t o
Type of Trade Related Work
EMPLOYER COMPLETE ADDRESS
DATES EMPLOYED: From t o
Type of Trade Related Work
EMPLOYER COMPLETE ADDRESS
DATES EMPLOYED: From t o
Type of Trade Related Work
* Prior to issuance of a License, applicant may be required to submit verification of three (3) years full-
time experience as an apprentice plumber/electrician/HVAC installer with an established
plumbing/electrical/HVAC company. This verification shall consist of a notarized letter from former
employers or supervisors stating the nature of work performed, along with tax records or paycheck
stubs for the time period being verified. Notarized letter from an established apprenticeship program
verifying OJT hours.
The foregoing statements are true and correct to the best of my knowledge and belief.
Signature of Applicant Date
hisblg\tradelic.doc 8/07