HomeMy WebLinkAboutPermit Electrical 2005-11-30
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~ Job Number Lt.")ty) 2, ,0 -004 2~
ELECTRICAL PERMIT - CONTRACTOR
INSPECTION LINE: 726-3769
City of Springfield
225 Fifth Street
Springfieid, OR 974n
[II Job Address: A-'><? 4
Owners Name: -P O<::;f>t"
Fax Line
Electrical Inspector
General information
541.726-3676
541-726.3663
541.726-3759
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Date: /1-?:0-6S
Description of Work"
COMMERCIAL!J RESIDEN~L!J INDUSTRIAL!J PUBLIC !J
~ Electrical Contractor. II
Supervising Electrician Signature: ( }U. ~ ' 1/ Ll /"
Supervisors License #: ---=:?;;} 9''' -~ Expires: / c!7- / ,,<]..,.
Construction Contractors Board #: 42q it? Expires:
THIS PERMIT IS NOT VALID UNTIL SECTIONS 1 & 2 ABOVE HAVE
BEEN COMPLETED AND SIGNED BY THE SUPERVISING
ELECTRICIAN PRIOR TO AN INSPECTIO~ BEING REQUESTED
I INSPECTION TVPE
I TEMPORARY
IUNDERGROUNO
IUNDERSLAB
/ I ROUGH
I SERVICE
r I LOW VOLTAGE
I MANUF HOME SERVICE
I I MANUF HOME CONNECTION
I SIGN
I
I I
I FINAL
ApPROVAL DATE
I INSPECTOR
I
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