HomeMy WebLinkAboutPermit Electrical 2005-12-1 (2)
.P.':G~ 4 '. EC 0069
t~ JObNUmberCt1f);1~ ~)S-'1(,78
ELECTRICAL PERMIT - CONTRACTOR
INSPECTION LINE: 726-3769
City of Springfield Fax Line 541.726-3676
225 Fifth Slreet Electrical Inspector 541-726-3663
Springfield, OR 97477 General informatiop 541-726.3759
[] Job Address: -~~?>"~ (..-o~ I--Qi?YJ /GO .
Owners Name: ~ ~ Oale: 1'4. - J-(:F')
Description of Work: COflnf'N 'J::\::'PSJ trai ~
,
COMMERCIAL Q RESIDENJfl((Q) INDUSTRIAL Q PUBLIC Q
~ Electrical Contractor' I / -
Supervising Electrician Signature:! ~ U- / --
supervisorsLicense#:~?9/)-c, Expires: //')_/-0"'7
Construction Contractors Board #: ~ l q (P Expirec-'
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
llNSPECTlONTVPE
I TEMPORARY
I UNDERGROUND
1 Ut>lDERSLAB
I ROUGH
I SERVICE
1 lOW VOLTAGE
IMANUF HOME SERVICE ~'
1 MANUF HOME CONNECTION J!"""
I SIGN '0",/ '"
I _ r?J.--V. // I
I L ,-J...// I I
I FINAL ~~- 1;/" _ __ ~
" "",:"f"'~II.V.lD:V.l ~
1iIIl.!1..:i.:..tJ":,,,.~ 1!~Bl!III!IDlfII6Wl!iF.lel~1!t
ApPROVAL DATE
INSPECTOR
//tC
(
~
'\