HomeMy WebLinkAboutPermit Electrical 2006-2-9
E~022
Job NumberQ)m.2fub- Doo3l?
ELECTRICAL PERMIT - CONTRACTOR
INSPECTION LINE: 726-3769
City of Springfield Fax Line 541-126.3676
225 Fifth Street Electrical Inspector 541-126-3663
Springfield, OR 974n General information 541-726-3759
[j] Job Address' ! 'fL..5 l-teV)do (_'\6YI
Owners Name: lY\i~ IY\GlVlOr Oal" Z-~-Ob
Description of Work' ~~
COMMERCIAL 0 RESIDENTIALX' IND!JST~IAL 0 PUBLIC 0
~ Electrical Contractor: ( .. ~:'\ J.-~ 1t:t::Tr~ ~
Supervising Electrician Slgna\urriJ~; ~~
Supervisors License #: 41?q 4" Expires: /0 -I - 0 1_
Construction Contractors Board #: _~ '3~ Expires: '-(-1-00
THIS PERMIT IS NOT VALID UNTIL SECTIONS t & 2 ABOVE HAVE
BEEN COMPLETED AND SIGNED BY THE SUPERVISING
ELECTRICIAN PRtOR TO AN INSPECTION BEING REQUESTED
IINSPEcnON TYPE
I TEMPORARY
I UNDERGROUND
IUNOERSLAB
I ROUGH
I SERVICE
I LOW VOLTAGE
I MANUF HOME SERVICE
I MANUF HOMe CONNECTION
I SIGN
I
I
I FINAL
ApPROVAL DATE
INSPECTOR
$tl--'7 -VC,
e....-
I TO BE REMOVED ONLY BY BUILDING OFFICIAL I