HomeMy WebLinkAboutPermit Electrical 2005-8-18 (2)
City of Springfield
225 Fifth Street
Springfield, OR 974n
II] Job Address:
Owners NamA .f).
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ELECTRICAL PERMIT. CONTRACTOR
INSPECTION LINE: 726-3769
Fax Line 541-726-3676
Electrical Inspector 541.726-3663
General information 541~726-3759
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1/11)1.1. .Y~V. Date: I /0:;
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Description of Work:
COMMERCIAL ~ RESIDENTI~.L 0 INDUSTRIAL 0 PUBLIC 0 .
~ Electrical Contractor: l.~ ~AM WI" ,d'-
Supervising Electrician S~1-: ,../ 7<','., // ~..
Supervisors License #: -5:: ~ Expires: /0. II.tf7
Construction Contractors Board #: '$ ht/'! Expires: /~ '%. '()
THIS PERMIT IS NOT YALID UNTIL SECTIONS I & Z ABO E HAYE
BEEN COMPLETED AND SIGNED BY THE SUPERVISING
ELECTRI~!AN PRIOR ,!:O AN INSPECTION BEING REQUESTED
I InsPECTION TYPE l ApPROVAL DATE I INSPECTOR
I TEMPORARY
I'UNDERGROUND
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ISERVlCE - - - -
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I MANUF HOME SERY~ ~
I MANUF HOME CONNECTION ,.
ISIGN - - -
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I FINAL I -.....,-
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