HomeMy WebLinkAboutPermit Electrical 1988-12-15
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CITY OF SPRINGFIELD--BUILDING DIVISION
225 North 5th 726-3753 (BUSINESS) 726-3769 (INSPECTIONS)
APPLICATION FOR ELECTRIr~ LABEL(Sl ~y ,AN ELECTRICAL CONTRACTOR
(PLEASE PRINT)
ELECTRICAL FIRM_Dfl1 fLeJ{)~'(F!$.
CONTRACTOR'S ?-rJ -% I C
LICS, NO. EXPIRES /O--I-"ir'/
ADDRESS;) '-It[ 5'?
tLV(,{ I fI44. . () rZ
SUPERVISO~' ()
NAME ~\
Lv (Jr<...,M...... 1<IJq {(.JI
BUILDERS
. BOARD NO. c;s:. 57'360
C( 7tf~ 7
PHONE
EXPIRES cp-r'l-1rCf
q35-765"5
J
L
SUPERVISOR'~/Jb 5
LICS. NO. 7C 3
EXPIRES (07-~
NUMBER OF LABELS REQUESTED'
:26
(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 or structure shall be concealed until
inspected and approved. lihen 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
SUPERVISOR'S SIGNATURE
!l.lM~5
DATE
/;)..- / ~- 'i?'~
INSPECTION REQUESTS SHOULD BE MADE ON THE BUILDING DIVISION'S 24 HOUR A DAY INSPECTION
LINE. THE INSPECTION NUMBER IS 726-3769. INSPECTION REQUESTS WHICH 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-
CIl\!~ BEFORE COMPLETION OF THE ELECTRICAL INSTALLATION. ORS 479.560 (b) (2)
FOR OFFICE USE ONLY
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RECEIVED BY ~ ._ .l\~ (~,l..r,\~ DATE I"Z... - )/,.., -'2;i
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