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Etectrica! Sa#ety Inspection Report Plana;ng ~ lJevelopment <br /> 6uitding & Permit Services <br /> city of i=ugene <br /> 99 W. 10fh Ave. <br /> Eugene, OR 97401 <br /> 541 G82-bOBG latocmation <br /> date ~ ( ) <br /> (541j 682,5593 Fax <br /> In ~ ~~~y Out ,~d (~0 (541j 682119 7DD <br /> In <br /> Out <br /> ~ermtt ~ <br /> Travel ~ Office ! <br /> Business Name ! Phone Number ~8-L~_ 3~f <br /> BusinessAddr~ess ~`~l~ l~i~"~%" <br /> inspection Address IBS,, G Yl~~ ~i~d.C' /'S. ~ ~~/lif~n~~~ 7'~~~i~rs ~'S' <br /> An inspecfion of the elecbical equtpment insfalted on the premises named herein revealed the following listed <br /> defects: <br /> 1. ~ ~i717,~~'OO/{~ ~//I77 .~/~%ioh I5'~~T~ n~C ro'~~ ar~~.s <br /> 2. ~ . <br /> <br /> _ - 3 . <br /> 4. . <br /> 5. <br /> 6. <br /> 7. <br /> 8. <br /> The special inspection fee is a88.OQfiour + 7% state sua~~arge + 7% admin. fee portal to portal (minimum one hour) . <br /> Electrical Inspector Total Hours ~ - <br /> Company Staff -----flate ~-~-0~ <br /> aaisiorr Pooier'sR~ow~srwrsrrwa~.~ea s.reey r,~ser«+ aoo <br /> <br />