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Concrete Flatwork License Application

  2. The time period for this license is January 1 through December 31 of the year it is submitted.  Licenses must be renewed each year.

  3. Type of Ownership*
  4. List Additional Name if Needed

  5. List Additional Name if Needed

  6. I have read and will follow the City of Rock Island's Construction Standards.*
  7. A license fee of seventy-five ($75) is due payable to the City of Rock Island at the time this license application is submitted.  

    Permits will not be issued until the license fee is paid and a current concrete flatwork bond is on file.

  8. Leave This Blank:

  9. This field is not part of the form submission.