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HomeMy WebLinkAboutPermit Electrical 1981-09-16CITY OF SPRINGFIELD--BUILDING DIVISION 346 MAIN sr. 726-3753 (BUSTNESS\ 726-3769 (TNSPECTTONS) APPLICATION FOR ELECTRICAI I,ABEL(S) BY A BUTLDING OVINER The Electrical Safety Law of the State of Oregon does not require a person to obtain a license as an electrician and,/or electrical contractor to make an electrician in- stallation on property which is owned by hjmself or a member of his jmmediate family which is not intended for sale, Iease, or rent. (PLEASE PRINT) APPLICAITT' S NA.I(E leon r..//4, //ko,rEC ADDRESS <s/l), / ? (h PHONE ADDRESS FOR PROPOSED WORK 1g / /il, /7(L BUILDING OWNER (IF OTHER THAI\I APPLTCANT) ADDRESS PHONE f certify that al1 of the above information is true and correct, and that no portion of any wirinq system requiring a label as applied for herein and intended to be con- cealed by any permanent portion of the building or structure shal-I be concealed until inspected and approved. When 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: 4 5 6 I 2 3 Temporary Service Underground Service Service nough Electric Cable ileat New Circuits or Extensions 7 I 9 Mobile Home Connections Signs Swi-rmning Pools f further certify that f will notify the Building Division when any of the above ELEC- TILICAI INSPECTIONS are ready, that all work will be done in accordance with the Electri- ca1 Safety Law of the State of Oregon, and that if not the building owner, I am a member of his or her immed.iate familY. g-i-gnature Date ?-14- f t INSPECTION RE9UESTS SHOULD BE MADE ON THE BUILDING DTVISIONIS 24 HOUR A DAY INSPECTION LINE. THE TNSPECTTON NUMBER r-S 726-3769. ]NSPECTION REQUESTS WHICH ARE CALLED IN BE- FOR 7 A.M. WTLL BE MADE ON THE SAIVIE DAY. LABEL NUMBERS LABEL TSSUANCE FEE RECE]VED BY FOR OFTICE USE ONLY DATE 60 7 // - o sr