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Electrical Safety Inspection Report Planning 8 Development <br /> - Building 8~ Permit Services <br /> City o6 Eugene <br /> 99 W. 10th Ave. <br /> Eugene. tJR 97401 <br /> Date ~ ~ " ~ ~ (549)682-5086 tnfonnation <br /> ? (541)682,5593 Fax <br /> In ~ Z ~ Out ~ (549)682-5999 TDD <br /> <br /> ' to °i~ ~.,r <br /> - Perrnit # C~ ~ ° G~ ~ <br /> Travel f h Office / ,S JJ~ ~y, <br /> Business Name p~ir.~ Phone Number <br /> !Business Address ~~C~ i ~y~ <br /> InspecaonAddress 1~iy~r ,4f/~o, <br /> An inspection of the electrical equipment installed on the premises named herein revealed the following listed <br /> defects: - - <br /> 7. ~GG~ j~~ De P/~z/P L~~iT" ~/Xf!/~~ ~ I~ . /77~inT~~~ shop <br /> 2. SL~~ 'T~'~-rs,~r- ~UrYip sT~r-~an ,bro/~'e~ ~~ce.~~- cdv~r- <br /> 3. - <br /> 4. <br /> 5. - - <br /> 6. - <br /> 7. <br /> 8. <br /> The special inspedion fee is S88.AOJhour + 7% state surcharge + 7°/a admin. fee portal to portal (minimum one hour) <br /> - <br /> Electrical inspector ~r Total Hours Z- ~ Sf <br /> Company Staff _ - Date ~ ' ~ <br /> T~"~'~ <br /> DMSIOH POO/BPSIPICFORMSJAtSTMrpsclebd safely kKpedio~ 8100 <br /> <br />