HomeMy WebLinkAbout3/22/2002 9095 ITY OF IOWA CITY, IOWA
APPLiCATION FOR AN ELECTRICIAN'S LICENSE
This application must be filled out completely and in detail
and shall be on file with the Building Official. With $20.00.
CITY OF IOWA CITY
Type of license for which you are applying:
RESIDENCE ADDRESS
CITY ,/'~_ ~"~.~..>, ~
TELEPHONE NUMBER
PRESENT EMPLOYER
~'/Journeyman
[] Master's
[] Restricted
[] Maintenance
ADDRESS OF EMPLOYER ,~
AGE ~ ? DATE OF BIRTH
City State
Have you ever had an electrical license revoked?
And if so, give reasons:
/~'~ By whom?
Have you previously been examined for an Electrical License by this Board?
If so, state type and results of examination:
Was it approved?
Have you previous made an application for a City of Iowa City Electrical License?
(o vet)
CIVIC CENTER · 410 EAST WASHINGTON STREET · IOWA CITY, IOWA 52240 · (319) 356-5000
ELECTRICIAN'S LICENSE APPLICATION - CITY OF IOWA CITY Page
ELECTRICAL EMPLOYMENT RECORDS
(Give previous and present employers and complete address.)
EMPLOYER
COMPLETE ADDRESS
DATES EMPLOYED: From
Type of Electrical Work
EMPLOYER
DATES EMPLOYED: From
Type of Electrical Work
.COMPLETE ADDRESS
to
EMPLOYER
DATES EMPLOYED: From
Type of Electrical Work
COMPLETE ADDRESS
to
EMPLOYER
DATES EMPLOYED: From
Type of Electrical Work
COMPLETE ADDRESS
to
I If this application is approved by the City, you will be notified as to when you will take your examination.
The foregoing statements are true and correct to the best of my knowledge and belief.
Signature of Applicant ~ Date
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OR BLDG ZNG DEPT PAGE 01 .....
6~/11/2002 16:59 2865830
The combined expertise of NAI Block and ITC
EXAM]MATION SCORE REPORT .
07/13/2000
DANIEL J. BRADY
3731 WILSON AVE.
CEDAR RAPIDS, IA 52404
Dear DANIEL J. BRADY:
The following is your grade results for the examination(s) you have taken.
Applicant Number:
Exam Date:
Exam Site:
Exam Sponsor:
485-88-8179
06/07/2000
CLIVE, IA
Cedar Rapids
EXAM
202IAl2-Joumeyman
PART l PART 2 PART 3 EXAM
$CORR
68.0 74,0 86.7 7g.g
gTATUS
PASS
Cedar Rapids requires a passing percentage of 75%
Sincerely,
Experior
PLEASE MAKE COPY FOR YOUR RECORDS
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5xperior AssessmentsTM, LLC · 2100 NW 53rcl Avenue - (~olnesvllle, FL 32~,53
TOll-Free: 800.888.8a?] ·
International Brotherhood of Electrical Workers
LOCAL UNION #405
1211 WILEY BLVD. S.W. · CEDAR RAPIDS, IOWA 52404
PHONE (319) 396-8241 - FAX (319) 396-3083
E-MAIL: ibew405@ibew405.org · WEBSITE: http2/www.ibew405.org
March 12, 2002
TO WHOM IT MAY CONCERN:
This is to certify that Daniel Brady, Social Security Number 485-88-8179, is a
Residential Wireman ~vith IBEW Local 405. He started apprenticeship 6/29/98 and
completed his training 6/9/00 and has accumulated 7470 total hours through his
employment through Local 405 Contractors as of 01/02. Daniel started his
apprenticeship with Tichy Electric and worked for them until 8/16/00 with total of 4133
hours. Then he worked for ESCO from 8/21/00 - 11/10/2000 with total of 483.5 hours.
Daniel now works for ACME Electric since 11/11/00 with a total of 2853.5 hours.
If you have any questions on the above, please call me at (319) 396-8241.
Sincerely,
Business Manager
IBEW Local 405
Signed before me this
:ZN~ary, SGt~ of Iowa
day of
My Commission expires