HomeMy WebLinkAboutPermit Electrical 2005-6-10
'ii~
EC 0006
Job Number{'{JfT'V~.va
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 97477 General information 541-726-3759
[[] Job Address: . 75;?-;)- ~rj/~ k Ll .
Owners Name: ~'V7g ~ I Date: ta -/0 -05
Description of Work: +~/Jtt-rrl- ,I // .
COMMERCIAL~ RESIDENTIAL 0 INDUSTRIAL 0 PUBLIC 0
[l] ElectricaIContract~r: _( ~ d- ~ Y ~~ -l!.-/~(;,. - -
Supervising Electrician signature:~ ~ ~
Sllpervisors License #: 3K'l 1/ S Expire'" 10 -1-07
Construction Contractors Board #: 3<lV r Expire.'" 7 -I-o~
THIS PERMIT'IS NOT VALID UNTIL SECTIONS 1 & 2 ABOVE HAVE
BEEN COMPLETED AND SIGNED BY THE SUPERVISING
ELECTRICIAN PRIOR TO AN INSPECTION BEING REQUESTED
I INSPECTION TYPE
I TEMPORARY
I UNDERGROUND
I UNDERSLAB
I ROUGH
SERVICE
I LOW VOLTAGE
I MANUF HOME SERVICE
I MANUF HOME CONNECTION
I SIGN
I
I
I FINAL
ApPROVAL DATE
INSPECTOR
(l)f<-
,(.. ..L-O ~ e) ~
.e__
C;;r;:0 r.;)r", -~-~'I[';:;<;.y!.",C0 (n'r\ -, \V/ i.,,\V? o:j; ',1 'Cd ';..Vc-' r;()~C'rdV;:"'I.,',
'IJ0 ~ t;t>il~II..:"',jl->JUj '-.0t\:(L/ I":~)l __~,-l/J..!1 L:'J;_~~ \.~::A'-'L~'\::-'.J'i;;)t'-:-J