HomeMy WebLinkAboutPermit Electrical 1985-4-29 (2)
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CITY OF SPRINGFIELD--BUILDING DIVISION
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346 MAIN ST. 726-3753 (BUSINESS) 726-3769 (INSPECTIONS)
APPLICATr9~f9~ ~LECT~lC~ LABEL(S) BY AN ELECTRICAL CONTRACTOR
(PLEASE PRINT)
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ELECTRICAL FIRM_IOn.I<> €~"'~~,;"
CONTRACTOR'S
LICS. NO. "1- '" I (
EXPIRES" -1 "-"It"
ADDRESS ;; o~"' C ~ 'l'j(
BUILDERS
BOARD NO. '3J <{,'-fLl
EXPIRES LI- 3 u- 'I!-
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PHONE J r 'J"- <;</1-1
SUPERVISORS ' ~
NAME Den"',', 1j..,"'>'Ha~
SUPERVISOR'S
LICS. NO. / '1 ,. - 5
EXPIRES C - ,. -'0 \-
NUMBER OF LABELS REQUESTED'
(Not more than 20 per application)
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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. lihen 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 Horne
Connections
8. Signs
9. swimming Pools
SUPERVISOR'S SIGNATURE
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DATE LJ / J. f / f{J-
,
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-
NOTE: A LABEL ISSUED TO AN ELECTRICAL CONTRACTOR UPON THE P~QUEST OF HIS SUPERVISING
ELECTRICIAN IS VOID UPON THE END OF THE EMPLOYMENT OF SUCH SUPERVISING ELECTRI-
CIAN BEFORE COMPLETION OF THE ELECTRICAL INSTALLATION. ORS 479.560 (b) (2)
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RECEIVED BY
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LABEL ISSUANCE FEE
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LABEL NUMBERS
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DATE