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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- t'l'o3-36-/3 -tz7oo(PLEASE PRINT) APPLICA}{T'S NAME N, lclW dloc k 1,)b-)3s c 1 anJ ( 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 8z oaa 6 60 l. .>