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HomeMy WebLinkAboutPermit Electrical 2005-12-28 EC 00 72 r JOb'Numbe,('f\(/7$'-O/~ IS ELECTRICAL PERMIT - CONTRACTOR INSPECTION LINE: 726-3769 City of Springfield Fax Line 541-726-3676 225 Fifth Street Electrical Inspector 541-726-3663 Springfield, OR 974n General inforl1lfltion 541-726-3759 [j] JObAddre'R:~Il""" ~ ~T ~~ Owners Name: 'f'Orcn.m. + M\(nollJl, Dat., I?- -';17 - () 5 Description of Work: 10 (J 'f') 'iJ-:) - 3 rcot Un, i '\, COMMERCIAL i RESIDENTIA~ INDUSTRIAL 0 PUBLIC 0 ~ Electrical Contractor: '\:AJ\ \~1r'Y'r oJ Supervising Electrician Slgnatur". L-/ "-.:'" . Supervisors License#: -?::L~a~ Expires: ft:!>-/- C7 Construction Contractors Board #: 4;:Jq 0 Expire" THIS PERMIT IS NOT VALID UNTIL SECTIONS I & 2 ABOVE HAVE BEEN COMPLETED AND SIGNED BY THE SUPERVISING ELECTRICIAN PRIOR TO AN INSPECTION BEING REQUESTED I INSPECTION TVPE I TEMPORARY I'UNDERGROUND I UNOERSLAB I ROUGH SERVICE I lOW VOLTAGE I MANUF HOMe SERVICE I MANUF HOME CONNECTION 1 I SIGN Pf'JO J"'"T tJ< /f.rl /"'>'r- I '- -,.Il' --....) I /~ t?'lf - OJ ' I ANAL I ApPROVAL DATE I I I . I f.f't) U~ I - I '"J.ou0)!-i I I I I I I INSPECTOR I ~w:.<i).!lil~M~V&r:J.ONlY'B~.BUf~~JN~Qglff$I.