HomeMy WebLinkAboutPermit Electrical 1981-12-16
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CITY OF SPRINGFIELD--BUILDING DIVISION
346 MAIN ST. 726-3753 (BUSINESS) 726-3769 (INSPECTIONS)
APPLICATION FOR ELECTRICAL LABEL(S} BY A BUILDING OWNER
(PLEASE PRINT)
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person to obtain
electrician in-
immediate family
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The Electrical Safety Law of the State of Oregon does not require a
a license as an electrician andlor electrical contractor to make an
stallation on property which is owned by himself or a member of his
which is not intended for sale, lease, or rent.
APPLICANT'S NAME
ADDRESS 5' 1/;;;'
Ma,;"
"HONE
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ADDRESS FOR PROPOSED \'/ORK
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BUILDING OWNER (IF OTHER THAN APPLICANT)
ADDRESS
PHONE
I certify that all of the above information is true and correct, and that no portion
of any wiring system requiring a label 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 additional
.and final inspection shall be made.
Inspections are generally required for at least the following conditions and or stages
of construction:
1. Temporary Service
2. Underground Service
3. Service
4. Rough Electric
5. Cable Heat
6. New Circuits or
Extensions
7. Mobile Home
Connections
8. Signs
9. Swimming Pools
I further certify that I will notify the Building Division when any of the above ELEC-
TRICAL INSPECTIONS are ready, that all work will be done in accordance with the Electri-
cal Safety Law of the State of Oregon, and that if not the building owner, I am a member
of his or her immediate family.
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Signature
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INSPECTION'REQUESTS SHOULD BE MADE ON THE
LINE. THE INSPECTION NUMBER IS 726-3769.
FOR 7 A.M. WILL BE MADE ON THE SAME DAY.
BUILDING DIVISION'S 24 HOUR A DAY INSPECTION
INSPECTION REqUESTS WHICH ARE CALLED IN BE-
FOR' OFFICE USE ONLY
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LABEL NUMBERS 03/ t.. :R LABEL ISSUANCE FEE ..2n 'A~, MJ
RECEIVED BY
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DATE
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