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HomeMy WebLinkAboutPermit Electrical 2005-5-30 EC 0076 JObNU~be~ 003CtO ELECTRICAL PERMIT - CONTRACTOR INSPECTION LINE: 726-3769 City of Springfield 225 Fifth Street Springfield, OR 974n [] Job Address:-P \ T"A'1ClIY1 One! Owners Name: ~ Description of Work' COMMERCIA~ [g] Electrical Contractor: Supervising Electrician Signature: Supervisors License #: ::-"7 Cif\ -,) Construction Contractors Board #: .A1..fi 0 Fax line ElectricallnspeClor General information 541-726-3676 541-726-3663 541-726,3759 1-erY'f Oat,",' INDUSTRIAL 0 Expires: /~...~ -O? Expires: THIS PERMIT IS NOT VALID UNTIL SECTIONS t & 2 ABOVE HAVE BEEN COMPLETED AND SIGNED BY THE SUPERVIStNG ELECTRICIAN PRIOR TO AN INSPECTION BEING REQUESTED I INSPECTION TVPE ApPROVAL DATE I TEMPORARY I UNDERGROUND IUNOERS1.A8 "' I ROUGH - C/.JItf/B ~ 7..1,t'J^"".l':'" " /M-A' ./ _~ I SERVICE I LOW VOLT,lGE I MANUF HOME SERVICE I MANUF HOME CONNECTION I SIGN I I [FINAL INSPECTOR r-/-"- /I~- "-'-'.:!3;llJ~