HomeMy WebLinkAboutPermit Electrical 1982-7-6
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CITY OF SPRINGFIELD--BUILDING DIVISION
346 MAIN ST. 726-3753 (BUSINESS) 726-3769 (INSPECTIONS)
APPLICATION FOR ELECTRICAL LABEL(S) BY AN ELECTRICAL ,-,-,,,...,ACTOR
(PLEASE PRINT)
CONTRACTOR'S
LICS. NO. . ::2'0- 9'S- c..
I
EXPIRES 6- ~S .'
ELECTRICAL FIRl-I "/)~....:J ,t;-Lu-cr..,..- / r
ADDRESS ;iJ,. Y??x ,.;L ~
, BUILDERS
.J'r"'..e/-c ,,&:/~.?b BOARD NO. /.3,;z.,,'e>
"HONE. 7~? S-Z:';zC)
D:PIRES.s- .,..:?",,/.,.,.~
. .:.:: ....
SUPERVI~' (;/ R'< P--
NAME~ ,.--4~f._. ._,_,:-:4>
SUPERVISOR'S
LICS. NO. /' 9-'7/ <;'
EXPIRES~/~~.J
, , .
NUMBER OF LABELS REQUESTED. /,1/
(Not more than 20 per application)
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
inspected and approved. \ihen the installation of the system is complete, an additional
and final inspection shall be made.
Inspections are generally required for at least the following conditions and or stages
of construction:
l.
.2.
3.
Temporary Service
underground Service
Service
Rough Electric
Cable Heat
New Circuits or
"",A,"~~~"'"'
,
4.
5.
6.
7 . Mobile Home
Connections
8. Signs
'9. swimming Pools
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DATE 7-6- r-- #-...
SUPERVISOR'S
INSPECTION REQUESTS SHOULD BE MADE ON THE BUILDING DIVISION'S 24 HOUR A DAY INSPECTION
LINE. THE INSPECTION NUMBER IS 726-3769.' INSPECTION REQUESTS WHICH ARE CALLED IN BE-
FOR 7 A.M. WILL BE MADE ON THE SAME DAY.
NOTE: A LABEL ISSUED TO AN ELECTRICAL CONTRACTOR UPON THE REQUEST OF HIS SUPERVISING
ELECTRICIAN IS VOID UPON THE END OF THE EMPLOYMENT OF SUCH SUPERVISING ELECTRI-
CIAN BEFORE COMPLETION OF THE ELECTRICAL INSTALLATION. ORS 479.560 (b) (2)
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FOR OFFICE USE ONLY
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LABEL NUMBERS 14 tLJ r - 14 '70
RECEIVED ~/jJli~
T.J\BEL
ISSUANCE FEE ~ <Ie?
1)-6-8::;2-
,)ATE
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