HomeMy WebLinkAboutMiscellaneous Electrical 2005-6-2
EC 00 04
Job Number ~O~V-o/.:v:(
ELECTRICAL PERMIT - CONTRACTOR
INSPECTION LINE: 726.3769
City of Springfield
225 Fifth Street
Springfield, OR 97477
ill Job Address:.!:J1J,n fflll;/l c,r.
Owners Name: '1nJd Date' 6>-~-o 5
Description of Work: CirUt'T he" f ,0 v~ / k.n J /~
COMMERCIAL lI' RESIDENTIAL CI INDUSTRIAL CI PUBLIC CI
~ Electrical Contracto;: C, S; [;.jt"I'p,'C- ~. _
Supervising Electrician signature~~~ - ~~_
Supervisors License #: .., 'I'll{ 5 Exp1i\s, 10 -t -0 ~
Construction Contracto"rs Board #: 3'& f./q Expires:~IJ~
...
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
I INSPECTION TYPE ApPROVAL DATE I INSPECTOR
!TEMPORAAY I
I UNDERGROUND ~'
IUNOFIl~l.&B ",...d.
I ROUGH
I SERVICE
I LOW VOLTAGE
I MANUF HOME SERVICE
I MANUF HOME CONNECTION
I SIGN
I
I
I FINAL
Fax Line
Electrical Inspector
General information
541-726.3676
541-726-3663
541-726-3759
I
I
I
~ A I
"""if I
J\.I/ ( I
/~,
~I.r--
\'#
\.
I TO BE REMOVED ONLY BY BUILDING OFFICIAL