HomeMy WebLinkAboutPermit Electrical 2006-5-15
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ELECTRICAL PERMIT - CONTRACTOR
INSPECTION LINE: 726-3769
Fax Line 541'726-3676
Electrical Inspector 541-726.3663
General information 541-726-3759
City of Springfield
225 Fifth Street
Springfield, OR 974n
ill Job Address: '
Owners Name:
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Description of Work:
COMMERCIAL'
00 Electrical Contractor:
SUpervising electrician Signature: ~ /. /__ _
Supervisors License #: ~G:~? , Expires' /t:7 - / -0 _7_
Construction Contractors Board #; 47J-i ( () Expires; lkl () . fl:1--
THIS PERMIT IS NOT VALID UNTIL SECTIONS I & 2 ABOVE HAVE
BEEN COMPLETED AND SIGNED BY THE SUPERVISING
ELECTRICIAN PRIOR TO AN INSPECTION BEING REQUESTED
-. .
I INSPECTION TVPE
(TEMPORARY
J UNDERGROUND - . .
I UNOERSLAB - - - .
fROUGH
/}ERVICE
JOW VOLTAGE _ _
MANUF HOME SERVlC~_
MANUF HOME CONNEcnON
_SIGN
PUBLICO
J INSPECTOR
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