HomeMy WebLinkAboutPermit Correction Notice 1987-11-3
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~ob Number "6'70 'if ~ Co .
INSPECTOR
OWNER OR
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o WIRING APPROVED FOll COVER 0 A PERMIT IS REQUIRED . U
o APPROVED FOR SERVICE 0 HEAT CABlE APPROVED FOR COVER
o WIRING fNCOMPlCTE 0 UNDERGROUND 'APPROVED FOR COVER
o WIRING COVERED WITHOUT INSPECTION. 0 CONDUIT SYSTEM APPROVED FOR COVER
o DUE TO THESE PREMISES BEING LOCKED AN INSPECTION COULD NOT BE MADE
o DUE TO NO ONE HOME AN INSPECfON COULD NOT BE MADE
o WIRING APPROVED FOR COVERING EXCEPT THE FOLLOWING
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BUilDING DIVISION 346 MAIN STREET 726-3753
yilE' HAVE INSPECTED THE ELECTRICAL WIRING AND EQUIPMENT INSTALLED BY YOU AT, THE PREMISES NAMED HEREIN AND SUBMIT
fHIS REPORT FOR YOUR RECORDS. . .
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~. Building Safety DiViSI
225 Nfrrth 5th Stree
Springfield, Oregon 974
726-3753 (Bus.) 726-3769 (Insp.)
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APPLICATION . ~~
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JOB ADDRESS: /23;2- ,,f'; J~ p~c::/
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OWNER: _YA> I/O fl3.C:h/1. ("
OWNERS ADDRESS: W ~d'.::::~
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. ,APPLICANTS ADDRESS: tf.),t &ck--/1 f /~ ~17" - ~".H,P ~-
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, FOR ACCESS TO PROPERTY -- PLEASE INCLUDE TELEPHONE NUMBER: <<lEI f/ - 3 &' d'd
DATE:
APPLICANT:
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A $35.00 INSPECTION FEE IS REQUIRED AT THE TUfE OF
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THIS APPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE
INSPECTED.
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SIGNATURE OF PROPERTY
FOR OFFICE USE ONLY
OWNER .
DATE OF INSPECTION:
RECEIPT NUMBER:
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'DATE OF REPORT:
. DATE OF CERTIFICATE OF COMPLIANCE:
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DATE PAID:
/O-~8-87
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