HomeMy WebLinkAboutPermit Electrical 2005-11-30 (2)
GPR1NO~
~~
EC ,,0,067
~ Job Number Ltity) 2, ,0 -004 2~
ELECTRICAL PERMIT - CONTRACTOR
INSPECTION LINE: 726-3769
City of Springfield
225 Fifth Street
Springfieid, OR 974n
[II Job Address: 4'><? 4
Owners Name: -PO<::;Pt"\
Fax Line
Electrical Inspector
General information
541-726-3676
541-726-3663
541-726-3759
nonk::"'r
Date: /1-?;0-6S
Description of Work"
COMMERCIAL!J RESIDEN~L!J INDUSTRIAL!J PUBLIC !J
~ Electrical Contractor. II
Supervising Electrician Signature: ( }U. ~ ' 1/ Ll /"
Supervisors License#: ---=:?,:;} 9" -~ Expires: /c!7-/ _"'1"7
Construction Contractors Board #: 42q it? Expires:
THIS PERMIT IS NOT VALID UNTIL SECTIONS 1 & 2 ABOVE HAVE
BEEN COMPLETED AND SIGNED BY THE SUPERVISING
ELECTRICIAN PRIOR TO AN INSPECTIO~ BEING REQUESTED
I INSPECTION TVPE
I TEMPORARY
IUNDERGROUNO
IUNDERSLAB
/ I ROUGH
I SERVICE
r I LOW VOLTAGE
I MANUF HOME SERVICE
I I MANUF HOME CONNECTION
I SIGN
I
I I
I FINAL
ApPROVAL DATE
I INSPECTOR
I
r-
: ;..:....../.
./
I>r-
~,