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v71 CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2021-00523
Date Issued: 9/20/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134AA01800
9 23 21
Jurisdiction: Tigard
Site address: 10170 SW NIMBUS AVE H5
Project: Scholls Business Center Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2
Project Description: 200a Panel Change. 9/27/2021: REPRINT permit to correct address from H8 to H5.
Contractor: A C & E ELECTRIC COMPANY LLC Owner: DIETRICH, NANCY BISHOP
3535 DEL WEBB AVE NE STE 100 ROBINSON, JERRY CHRISTOPHER TRUST
SALEM, OR 97301 ROBINSON, LYNN ET AL
9701 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97222
PHONE: 503-363-2301 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 09/20/2021 $100.70
Specifics: amps or less
1 ea 12%State Surcharge- 09/20/2021 $12.08
Type of Use: COM Electrical
Class of Work: OTR
Type of Const:
Occupancy Grp:
Total $112.78
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the
180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 thro h�2-0q 0090. Yo may obtain a cony of the rules or direct questions to OUNC by callinaa 503.232.1987 or 1.800.332.2344.
50
Issued By: �J, Permittee Signature: 5 r Cif \l C-
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE: Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC'N Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.