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HomeMy WebLinkAboutPermit Electrical 2006-2-2 EC 0 2 "l'f"!' Job f.lumberCbcnZ./ 0,:)'8':" 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 II] Job Address: III '.d(l,W~(Ati~'OJ' lAW ~ " Owners Name: ..E'l:lC-il-,_ ' J)(C- .Oate: 7.-2!-f)(tI Oescr/ption of Work:~' I, clI- ~:p-^ COMMERCIAL ~. RESIOENTIAL 0 INOUSTRIAL 0 PUBLIC 0 ~ Electrical Contractor: I:> V i IOfff'" ~ ~e( rl/"( !.'''( Supervising Electrician Signature: ~AA~"17t,;,...- / - Supervisors License#: 'J.,'lCiil- ~ Expire~ot:PZ Construction Contractors Board #: 4- L Y ( ) 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 IINSPEcnONTvPE 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 "'-/,/-C/ 0 Q .(!)JB.ElBEM(!)V~ACi>..~~Y"B.N~Bl!III!Ii)I1\I61(!)'i,F.181~~