HomeMy WebLinkAboutPermit Electrical 1982-01-27CITY OF SPRINGFIELD--BUILDTNG DIVISION
346 MAIN ST. 726-3753 (BUSTNESS) 726-3769 (INSPECTIONS)
APPLICATION EOR ELECTRTCAL LABEI,(S) BY A BUILDING OI'INER
The Electrical Safety Law of the State of Oregon does not require a person to obtain
a license as an electrician and,/or electrieal contractor to make an electrician in-
stallation on property which is owned by himself or a member of his jmmediate family
which is not intended for sa1e, leaser or rent-
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APPLICA}{T'S NAME
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ADDRESS 31ct PHONE
ADDRESS FOR PROPOSED WORK
BUILDING OWNER (TE' OTHER TTIAN APPLICANT)
ADDRESS PHONE
I certify that all of the above information is true and correct, and that no portion
of any wiring system reguiring a labe1 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. When the installation of the system is complete, an addit-ional
and final inspection shall be made.
Inspections are generally required for at least the following conditions and or stages
of construction:
1
2
3
Temporary Service
Underground Service
Service
Rough Electric
Cable Heat
New Circuits or
Extensions
7. Mobile Hcme
Connections
8. Signs
9. Swi:runing Pools
4
5
6
I further certify that I will notify the Building Division when any of the above ELEC-
TRICAI f,NSPECTIONS are ready, that all work will be done in accordance with the Electri-
cal Safety Law of the State of Oregonr &rrd that if not the building owner, I am a member
of his or her immediate f l-y.
Signatur a ort"/'Z ? -82-
,&e;Ll,1{INSPECTION REQUESTS SHOULD BE MADE ON THE BUILDING DIVISION,S 24 HOUR A DA
LINE. THE INSPECTION NUMBER IS 726-3769. INSPECTION REQUESTS WHICH ARE CAI,LED TN BE-
FOR 7 A.M. WILL BE MADE ON THE SAII{E DAY.
$tr.loLABEL NUMBERS LABEL ISSUANCE FEE
/- 27- lLRECEIVED BY
FOR OFFICE USE ONLY
DATE
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