HomeMy WebLinkAboutPermit Electrical 2013-6-7 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811 SPR2013-01192
www.spnngfield-or.gov permitcenter@springfield-ocgcv
PROJECT STATUS: Issued ISSUED: 06/07/2013 EXPIRES: 12/03/2013
STATUS DATE: 06/07/2013 APPLIED: 06/07/2013
SITE ADDRESS: 2659 OLYMPIC ST,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703254403600 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: 3 Branch Circuits .
OWNER: WAL-MART REAL ESTATE BUSINESS TRUST Phone Number:
ADDRESS: PO BOX 8050
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BENTONVILLE AR 72712
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
GOWDY BROS ELECTRIC INC (C)Electrical Cont 9-640 07/01/2014 541-548-6495
hi INSPECTIONS REQUIRED 1 •
Inspections
4500 Rough Electrical Rough Electric: Prior to Cover
4999 Final Electrical Final Electric: When all electrical work is complete.
By signature, I state and agree,that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the
permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during
construction.
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Ow A ractor Signature Date
ATTENTION: Oregon law requires you to .
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follow rules adopted by the Oregon Utility
• Notification Center. Those rules are set forth
NOTICE: in OAR 952-001-0010 through OAR 952-001-
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THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by
`UTHORIZED UNDER THIS PERMIT IS NOT •
calling the center. (Note: the telepl :r
����ENCED OR IS ABANDONED FOR number for the Oregon Utility Notification•^v OFRIf10. Center is 1-500-332-2344).
Springfield Building Permit 6/12/2013 8:03:09AM Page 1 of 1
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