HomeMy WebLinkAboutPermit Electrical 1982-6-24
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CITY OF SPRINGFIELD--BUILDING DIVISION
346 MAIN ST. 726-3753 (BUSINESS) 726-3769 (INSPECTIONS)
APPLICATION FOR ELECTRICAL LABEL(S) BY A BUILDING OWNER
The Electrical Safety Law of the State of Oregon does not require a person to obtain
a license as an electrician and/or electrical contractor to make an electrician in-
stallation on property which is owned by himself or a member of his immediate family
which is not intended for sale, lease, or rent,
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(PLEASE PRINT)
APPLICANT'S NAl1E 'Ph" I L <. Kev nolrl c:.
ADDRESS 9;l. q$5 {Y}tJ.. "~o/A... "Rao.cl
ADDRESS FOR PROPOSED WORK ~I <:;lJ c;{rJ. UroJ .$"1.
PHONE
q35~2'l5c,
ADDRESS
PHONE
BUILDING O'flNER (IF OTHER THAN APPLICANT)
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 I
inspected and approved. When the installation of the system is complete, an additional J
and final inspection shall be made, .
Inspections are generally required for at least the following conditions and or stages
of construction:
1. Temporary Service 4, Rough Electric 7, Mobile Home
2, Underground Service 5, Cable Heat Connections
3, Service 6, New Circuits or 8, Signs
Extensions 9, Swimming Pools
I further certify that I will notify the Building Division when any of the above ELEC-
TRICAL INSPECTIONS are ,ready, that all work will be done in accordance with the Electri-
cal Safety Law of the State of Oregon, and that if not the building owner, I am a member
of his or her immediate fami~
Signature ~.H.1l4' Q. \. / r.l ~ Date Io.~ '1-&9-.
,00
INSPECTION REQUESTS SHOULD BE ~mDE ON THE
LINE, THE INSPECTION NUMBER IS 726-3769,
FOR 7 A,M. WILL BE MADE ON THE SAME DAY,
BUILDING DIVISION'S 24 HOUR A DAY INSPECTION
INSPECTION REQUESTS WHICH ARE CALLED IN BE-
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FOR OFFICE USE ONLY
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LABEL NUMBERS
038("
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LABEL ISSUANCE FEE
.2..0
RECEIVED BY
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DATE
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