HomeMy WebLinkAboutPermit Electrical 2006-3-2
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EC Q 1 30
Job NumberCOV'l.l . ..0005=+
ELECTRICAL PERMIT - CONTRACTOR
INSPECTION LINE: 726-3769
City of Springfield
225 Fifth Street
Spnngfleld, OR 97477
IIJ Job Address'
Owners Name
Fax Line 541-726-3676
Electncallnspector 541-726-3663
General information 541.726.3759
Ge:.~ 8t-
'-.J Date ,~J~! OiD
Descnpllon of Work ~ 4rc..ll....c... si c.t..l ~
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COMMERCIAL 0 RESIDENTIAL 0 INDUSTRIAL 0 PUBLlC~
[l] Electncal Contractor ~ .E:1eL-~~ I
SupervIsing Electnclan Signature' """-l~ 0~ I
Supervisors License # 3L.jtj,Q S ~Ires IDl \ 0=+
Construction Contractors Board # ~ 14 Expires ~
THIS PERMIT IS NOT VALID UNTIL SECTIONS 1 & 2 ABOVE HAVE
BEEN COMPLETED AND SIGNED BY THE SUPERVISING
ELECTRICIAN PRIOR TO AN INSPECTION BEING REQUESTED
I INSPECTION TYPE
I TEMPORARY
I UNDERGROUND
I UNDERSLAB
I ROUGH
I SERVICE
I LOW VOLTAGE
I MANUF HOME SERVICE
I MANUF HOME CONNECTION
I SIGN
I
I
I FINAL
ApPROVAL DATE
INSPECTOR
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