HomeMy WebLinkAboutPermit Electrical 2002-11-22
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Contractor Name: ADT SECu!.
Phone: 503-469-7100
Fax: 503-469-7110
Address: 2815 SW 153RD AVE
BEA YERTON, OR 97006
Job Address: 1565 S A ST
SPRINGFIELD 97477
[nSUllled By: LES GEORGE
IlIStalJer License: 2989 RET
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License: 26-209CLE
CCB: 59944
Supv Lic: 26-209CLE
Supv Reg: BRAD GRA YES
Metro #:
Jurisdiction: SPRINGFIELD, CITY OF
Work Description: ALARM SYS
Property Owner: ROUGE RECOVERY & TOWING, INC
Phone Number: (541)736-4829
Adtbess: SAME
Instal/Type:
Issued Date; 6/24/02
Install Date: 9/9/02
Insp Bpt Sent: 11/22/02
Insp Rpt Rcvd:
1st I 2nd I3rd
ORllO
Comment: INSPECTION MAY REQUIRE A LADDER IN EXCESS OF SIX FEET.
Conunercial
PasslFail
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TRI COUNTY SERVICE CENTER
Phone: 503.872-6731 Fax: 503-872-6735
MINOR LABEL TRACKING FORM AND INSPECTION REPORT 1
JURISDICTION: SPRINGFIELD, CITY OF
TCSC minor label #
EL S 692
Contact log
Three contacts must be attempted within five (5) working days ofrectip!.
. Date I Time
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InitlDls kesul1s
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o No Contact
If no contact is made. TCSC IIlUSt be notified within ten (10) working day. if inspection cannot be performed n
~ Inspection Approved Date Approved: __/~-:O I.?~
lethe m.pection is performed and approved rhe fonn sball be sentlfaxed to TCSC within five (5) working days.
Contact and Inspection lA>g
o Inspecllon Failed. Date ContrlJctor Notified of FlJiiure: .. . ___m..... .. ._....__. .m'''_
Iflhe inspection fails, the jurisdiction shall notifY contractor. Tbe contractOr bas!Cn (10) days to notitY thc TCSC of dispute. Ifnot
displlted, the contraclOr sball call the jurisdiction of authority for [e-inspection.
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