HomeMy WebLinkAboutPermit Electrical 2005-3-28
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Job NumberCll/7?;;)(e- '" 3 7S
ELECTRICAL PERMIT - CONTRACTOR
INSPECTION LINE: 726-3769
City of Springfield Fax Line 541-726-3676
225 Fifth Street Electrical Inspector 541.726-3663
Springtield, OR 974n General intormation 541-726-3759
[I] Job Address: d J 'Ill rrllLin sr.
Owners Name: ~/7 lfd+- Oat'.. 3-;:1i?'-oS
Pescription otwork:~ ;nh'j I
COMMERCIAL)al RESIPENTlAL a INOUSTRIAL a PUBLIC a
[g] Electrical Contractor: C-'!: ~ f;t~tJ;::'e-~.
Supervising Electrician Signature: \ .'~~" .J2---
Supervisors License #: lft3(lfl S Expirea: } 0 -} -0 7_
Construction Contractors Board #: 7K1.f 1 Expires: _If - / - CIa
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 TVPE
I TEMPORARY
I UNDERGROUND
IUNDERSLAB
I ROUGH
I SERVICE
I lOW VOLT.&(jf
I MANUF HOME SEIMCE'
I MANUF HOME CONNECTION
I SIGN
I
I FINAL
ApPROVAL DATE
INSPECTOR
yo. T /- ty;:;'-
.P
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I
I
I TO BE REMOVED ONLY BY BUILDING OFFICIAL
r,
~ I 0 SENDER: Co~1~;J2. 3~ ~ 4. ;.'
3 Add your address in the "RETURN TO" space
~ I on reverse.
~ (CONSULT POSTMASTER FOR FEES)
l!J I" The following service is requested (check one).
O)Q(ow to whom and date delivered .................... _t
o Show to whom, date, and address of delivery" --J
12.0 RESTRICTED DELIVERY -J
, ) (The restn"cted dt!li~ry f~ is cluJrgcd in addition lD
the ntum rruipt I~)
TOTAL n
1 ARTICLE AQDD~~ TQ
Mr. John Akin
4982 Jasper Road
Springfield, Oregon 97478
iii .0 TYPE OF SERvtCE: ARTICLE NUMBER
g 0 REGISTERED 0 INSURED
_:!i D-~.~~ 0 coo I
o EXPRESS ""..
'"
S I (Amayo obtain u1gnature 01 add_ or agent) I
~ I have received the article described above. ~
~ SIGNAT'W~ 0 A~dressee, ,0 AUlhO~ed agent .
XL rA~~ /~
I DATE Of;;;;;' 6 I!IQA /;(:,;-:\ "I.
~ "AD_~.'DDRESS(~....",oI) (( I.l: toQ;')' I
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"" 7. UH~ TO DEUYER BECAUSE: IrA. Et:CPLOYEE'S
m IN~
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UNITED STATES POSTAL SERVICE
OFFICiAL BUSINESS
SENPER INSTRUCTIONS
PrInt your name, address.ancl ZIP Code in the space below.
. Compltlt Items 1, 2, 3. and 4 on the reverie.
lltIdItofrontofartldtltapaClpennlts,
othn!II aflll to back of article.
Endllno tItIcIe "ReIlJm R"'~t Requested"
adjaceot to number.
RETURN ..-.
TO T
PENALTY FOR PRIVATE
USE TO AVOID PAYMENT
OF POSTAGE. 1300
~~J
. '"
.....
(Name of Sender)
CITY OF SPRINGFIELn
:;~r-"... M"'-l\{I;t$Jl'oF>f/l'!l.'lt!!'lwoRKS
225 NORTH 5'h STREET
$PR'NG"IFI" _,..,c<,:~.) ~-"'77- (City. State. ana ZIP Cooer