HomeMy WebLinkAboutPermit Electrical 2005-12-1
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ELECTRICAL PERMIT - CONTRACTOR
INSPECTION LINE: 726-3769
City 01 Sprlnglield Fax Line 541.726-3676
225 Fifth Slreet Electrical Inspector 541-726-3663
Springlleld, OR 97477 General inlormatlop 541-726.3759
[] Job Address: -~~?>'~ (-rQ~ I-Qi?YJ /GO .
Owners Name: ~ ~ Oale: 1'4 - J-(:F')
Description of Work: ('Oflnf'N 'J::\::'PSJ trai ~
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COMMERCIAL Q RESIDENJfl((Q) INDUSTRIAL Q PUBLIC Q
~ Electrical Contractor- I / -
Supervising Electrician Signature:! ~ U- / --
supervlsorsLicense#:~?9/)-c, Expires: //')_/-0>
Construction Contractors Board #: ~ l q (P Expirec-'
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
llNSPECTlONTVPE
I TEMPORARY
I UNDERGROUND
1 Ut>lDERSLAB
I ROUGH
I SERVICE
1 lOW VOLTAGE
IMANUF HOME SERVICE ~'
1 MANUF HOME CONNECTION J!"""
I SIGN '0",/ "
I _ r?J.--V. // I
I . .-J../I I I
I FINAL ~~- 1;/" _ __ ~
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ApPROVAL DATE
INSPECTOR
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