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HomeMy WebLinkAboutPermit Electrical 2007-10-1 ~- , Ec.082 Job Number CO(}1jl~ - OQJ.S] ELECTRICAL PERMIT - CONTRACTOR INSPECTION LINE: 726-3769 City of Springfield Fax Line 541-726-3676 225 Fifth Street Electrical Inspector 541.726-3663 Springfield, OR 974n General information 541-726-3759 [j] Job Address:---L.!d:/t) t~/~- Owners Name: ~(1f(f)Jl} . t.\late: 2.-! -()(o Description of Work: c::; cr /)('___------..:.+0 nn I f"'X1 COMMERCIAlk'f' RESIDENTIAL CI INDUSTRIAL Q PUBLi!YCI III ElectricaIContract~r:~~ E)ec.'tnC Iflr-. Supervising Electrician Signature" ( LJ.. C-- Supervisors License #: ,;::) q c> - ,,_ EXPire~ -0 7Z" Construction Contractors Board #: ~ Expires' 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 IINSPECTlonTvPE I TEMPORARY I UNDERGROUND IUNDERSLAB I ROUGH I SERVICE I lOW VOLTAGE I MANUF HOME !:ERVl(~E I MANUF HOME r.Ot,it,!".r:TION ISlGN -. I 1~,Hi I 1 FINAL ApPROVAL DATE INSPECTOR - tr;.;> ..f.-d'J~ - " ) ".t~ I I I TO BE REMOVED ONLY BY BUILDING OFFICIAL I