HomeMy WebLinkAboutPermit Electrical 2006-7-11
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Job Numbe'CDIn ZDa-DC1!>lo
ELECTRICAL PERMIT - CONTRACTOR
INSPECTION LINE: 726-3769
City of Springfield Fax Line 541-726-3676
225 Fifth Street Electrical Inspector 541-726-3663
Springfield, OR 974n ,. Generallnformation 541-726-3759
[I] Job Addressifi / If/i) (fJHj tJ ,>"
Owners Name: IDiJ;:::r~ ,~CJ/fJP Date: / /VUbI 0 (.,
DescriptionofWork:P'~- ?J:::/),4 trrt.E;,<'-t L/u~
COMMERCIAL Q RESIDENTIAL Q INDUSTRIAL Q ~UBLlC Q -
III Electrical cont'actor:---L.r..:z;tltW'fK'./~:'~' I L ./
Supervising.Electrician Si9"1tu _ ./ A ~
Supervisors License #: lIP,9t./'f, - Expires:
Construction Contractors ~oard #:' ,..'::)gL/Cf Expires:
THIS PERMIT IS NOT VALID UNTIL SECTIONS I & 2 A OVE HAVE
BEEN COMPLETED AND SIGNED BY THE SUPERVISING
ELECTRICIAN PRIOR TO AN INSPECTION BEING REQUESTED
I INSPECTION TYPE
jYEMPORARY
I UNDERGROUND
IUNOERSLAB
I ROUGH
SERVICE
I LOW VOLTAGE
IUANUFHOUE SERVICE
IUANUF HOME CONNECTION
I SIGN
I
I
I ANAL
ApPROVAL DATE
INSPECTOR
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I TO BE REMOVED ONLY BY BUILDING OFFICIAL I
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