HomeMy WebLinkAboutPermit Electrical 1987-7-17
CITY OF SPRINGFIELD--BUILDING DIVISION
346 MAIN ST. 726-3753 (BUSINESS) 726-3769 (INSPECTIONS)
APPLICATION FOR ELECTRICAL LABEL(S) BY A BUILDING OWNER
The Electr1cal Safety Law of the State of Oregon does not requ1re a person to obta1n
a llc8nse as an electrlc~an and/or electrlcal contractor to make an electrlclan In-
stallat10n on property wh1ch 1S owned by h1mself or a member of h1s 1rnIDed1ate fam1ly
WhlCh 18 not lntended for sale, lease, or rent.
(PLEASE PRINT)
ADDRESS
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PHONE
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APPLICANT'S NAME
ADDRESS FOR PROPOSED WORK
BUILDING OWNER (IF OTHER THAN APPLICANT)
ADDRESS
PHONE
I cert1fy that all of the above 1nformat1on 1S true and correct, and that no port1on
of any w1r1ng system requ1r1ng a label as app11ed for here1n and 1ntended to be con-
cealed by any permanent port1on of the bU1ld1ng or structure shall be concealed unt1l
1nspected and approved When the 1nstallat1on of the system 1S complete, an add1t1onal
and f1nal 1nspect1on shall be made.
Inspect10ns are generally requ1red for at least the follow1ng cond1t1ons and or stages
of constructlon
l. Temporary Servlce 4. Rough Electr1c 7. Mob1le Home
2. Underground SerVlce 5. Cable Heat Connectl.ons
3. SerVl.ce 6. New CJ.rCllJ.ts or 8 S1gns
Extensl0ns 9 SWlmrnlng Pools
I further cert1fy that I w1ll not1fy the BU1ld1ng D1V1S1on when any of the above ELEC-
TRICAL INSPECTIONS are ready, that all work w1ll be done 1n accordance w1th the Electr1-
cal Safety Law of the Stat.e of oregon~and t 1f not the bU1ld1ng owner, I am a member
of h1s or. her ~)e fam1ly. / /.. r
S1gnature <. C~f;r/ ~ ://~~/ Date 1-cltJ -Jl
INSPECTION REQUESTS SHOULD BE I~DE ON THE
LINE. THE INSPECTION NUMBER IS 726-3769.
FOR 7 A M. WILL BE MADE ON THE SAME DAY.
BUILDING DIVISION'S 24 HOUR A DAY INSPECTION
INSPECTION RE0UESTS WHICH ARE CALLED IN BE-
FOR OFFICE USE ONLY
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RECEIVED BY
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LABEL ISSUANCE FEE
2-D
LABEL NUMBERS
DATE
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