HomeMy WebLinkAboutPermit Electrical 1983-10-10
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CITY OF SPRINGFIELD--BUILDING DIVISION
346 MAIN ST. 726-3753 ,_(BUSINESS) 726-3769 (INSPECTIONS)
APPLICATION FOR ELECTRICAL LABEL(sl BY AN ELECTRICAL CONTRACTOR
(PLEASE PRINT)
ELECTRICAL FIR.'lD\(lr{() 'J )
t1~, CONTRACTOR'S
t. LICS. NO. '
" A" AI ' BUILDERS
LA \. L . BOARD NO.
EXPIRES
ADDRESS qq<?\ ~ I JtJ
~~"~)
SUPERVISORS' \ \. \ '" c:::, n D-,
NANE '-. l'l '\\\ 1. \'-1\ \, "--1'>Uo.~
NIDIBER OF LABELS REQ~E~ED' I
EXPIRES
,
/
PHONE
Tl f ,/1'\ - I q III
I,' ."'..
,;:)ur.t..t\vISOR'S
LICS. NO.
EXPIRES
(Not more than 20 per application)
I certify that all of the above information is true and correct, and that no portion
of any wiring system 'requiring a label as applied for herein and intended to be con-
cealed by any permanent portion of the building Dr structure shall be concealed until
inspected and approved. llhen the installation ,of the system is complete. ,an additional
and final inspection shall be 'made.
Inspections are generally required for at least the 'following 'conditions 'and 'or "stages
of construction:
1. Temporary Service
'2. Underground Service
3. Service
4. Rough Electric
5. Cable Heat
6. New Circuits or
Extensions
7 . Mobile Home
.Connections
8. Signs
'9, swimming Pools
...:~
,;IGNATURE)) ~~ m~'
'DATE
SUPERVISOR'S
INSPECTION REQUESTS SHOULD BE MADE ON THE BUILDING DIVISION'S 24 HOUR A DAY INSPECTION
LINE. THE INSPECTION NUMBER IS 726-3769.' n,SPECTICN REQUESTS ~rnICH ARE CALLED IN BE-
FOR 7 A.M. WILL BE MADE ON THE SAME DAY.
NOTE: A LABEL ISSUED TO AN ELECTRICAL CONTRACTOR UPON THE REQUEST OF HIS SUPERVISING
ELECTRICIAN IS VOID UPON THE END OF THE EMPLOYMENT OF SUCH SUPERVISING ELECTRI-
CIAN BEFORE COMPLETION OF THE ELECTRICAL INSTALLATION. ORS 479.560 (b) (2)
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FOR OFFICE USE ONLY ___ ________
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RECEIVED ~I~ Ol\T:::~, I()~ (D-A~
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