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Permit
=r+axiaauluikFxiMtHruu. 'eaWu+a uau .F:ixFGt{.suLMikYif#S!l#! r fldr fkfsxee'! 1 3daMadiu Hh#alUflaNt e•axrda{ t*L nluFzd u:w xr ,«. .. ...rs, ,x fr.al u.N r xo-M r.e ,e,..,.... •x ......,n .r.az...r.s. x«..axa. _.<•.., CITY OF TIGARD ELECTRICAL PERMIT ''1 a COMMUNITY DEVELOPMENT Permit#: ELC2021-00630 Date Issued: 12/23/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101BBO1300 Jurisdiction: Tigard Site address: 11958 SW GARDEN PL Project: Zoom+Care Subdivision: CROW PARK 217 Lot: 1 Project Description: Extend existing circuits to facilitate new/relocated lights. New panel"A2"off of existing panel"A"(existing to remain unchanged)proving circuits for new office system furniture,water heather, new condenser unit and air system. Contractor: TIMBERLINE ELECTRICAL CONTRACTORS Owner: BKM PARK BC 252 LLC PO BOX 918 BY SLK GLOBAL SOLUTIONS AMERICA LAKE OSWEGO, OR 97035 2727 LBJ FREEWAY STE 806 DALLAS,TX 75234 PHONE: 503-459-4089 PHONE: FAX: 503-254-4227 FEES Quantity Description Date Amount 2 ea Services or Feeders-200 12/15/2021 $201.40 Specifics: amps or less 45 crt Branch Circuits w/Purchase 12/15/2021 $333.90 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea Plan Review Electricial 12/15/2021 $133.83 Type of Const: 1 ea 12%State Surcharge- 12/15/2021 $64.24 Occupancy Grp: Electrical Total $733.37 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 throuoh OAR 952-001-0090. You may obtain a coov of the rules or direct auestions to OUNC by callina 503.232.1987 or 1.800.332.2344. Issued By: Ed90.4-1 -Ma-fdo-K.a.d.o Permittee Signature: i . -#t.o 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. , Electrical Permit Application , ,4} 2 e 1,0R(ii.Fict::I ,-,1 t\Lt ,14 riJ�1 7 f�I1 r� 't' ul mown,: tf ( gt,G �l-nt0�00 .2 " • 131225SW Hall Tigard of Blvd.,Tigard,OR 97aza t " Our t IGAR!r d8 �r� f�+�t , * 7k`°trt 1Vt 1"t.P z. 0. Phone: 503.718.2439 Fax: 503.59 1940r, ,- t{� ! Dex n.: 1. ' ! Related Permit q (' "3UiLUIF U DIVISIONan (' 1nsp Lion Line; 503.639.4175 Ready Date/By t 1. ,.,_ i Fe ScePage2 for tInternet. uvrw.ttgard-or.gov NotifredNierhot; 3 i _ 1:7i iSsontaneeteinrormation - _ TYPE OF WOR t " .r^ max _ PLAN REVIEW — O New construction~ 2 Additiory alto rt ` ) +N t / s "K a Please check ell that apply(submit 2 sets of plans wforess checked): r`", L , ❑So vice or feeder 4G)amps or more 0 Building over three stouts. O Demolition 0 Other: 1 ,,- ,_.._. „,•„...... where the available fault current 0 Minims and boatyards __CATEG_ORY_OF CON b ' )is y' exceeds 10.000 amps at ISO volts or 0 Floating buildings. 1 ❑ 1-and 2-family dwelling X Commercial/industrial 0 Accessory building tens to ground•or exceeds 14,000 0 Conurercial-tsc age'cultural amps fa all other installations, buildings. ❑Multi-family 0 Masher builder 0 Other: °Fite map 0Instal:atior.of 150 KCVA or i JOB SITE INFORMATION AND LOCATION s ❑F.rrergemy system. [] m Larger separ eely derived "' "` Addition of new motor tend of system. I rob a:BUP2021-002481 dot)site address: 11958 SW Garden Place 1o0HPor more Q•.A.. > '1-z l•3 : City/State/ZIP:/State/2IP:Tigard, rr 97223 ^�� — —^ Q Six or more residential uuu. occtg»ncy. I y ___ -_ Health-care reams. Q kecrcnitonal vehicle parka SuitelbldgJapL tic l Project name:Zoom+Care Billing&Help Office Q Hazardous lace_I= 0 Supply voltage for more than 4 -- - ---, DScsvice or fcedcr600_amps Or snort Soo vo:ts nominal Cross street/directions to job site: __ _ � �� FEE SCHEDULE 1 Off SW Hall Blvd at HWY 217&HWY 99W,SW Garden Place _ °^"''`°" 1 er l)`"ei`` " Terul 1 • . . . _.. New residential single-or multi-family dwelling unit, j Subdivision. i.ot A Includes attached garage. `. — . _-._- 1,000 sq ft or less J68.54 , 4 Tax map/parcel ii:25101B801300 .._ ___.___ __ .__� _ Fa add'I SOU sq ft a ponian 33.92 1 DESCRIPTION OF WORK Limited energy,residential _ �' ' I Extend existing circuits to feat*new/relocated lights. New panel"A2"of of existing panel /with above sv_fl.!_ _ -r4 75.E ; 2 I Limited energy-,multi-rams/ r 'had(�II51nwtoonOrStol'enPrrrnrl ttang8t •;xovalingziavttatorf0+rtiR ins tifiiut;tuue, y i 75.00 2 059 actin healer nti4Y tflnrlpnapt ;�t�n 'dat residential[with above A.ft.r _ _ PROPERTY OWNER TENANT ss i >{enE'wable Encn _i 0 See Page 2 . r I __-__ . _. _ � . f Services or feeders instatlationt alteration and/or relocation Name: Zoom+Care Contact:Jeffrey Schoenberg 200 amps less loom } 201 ao,;z ll Address:1455 1�W lnVlrg St#600 201 amps o 400 amps133.5E ' 2' 1 401 amps to 600 amps 200.34 2 1 1 City/State/ZIP_Portland,OR 97209 it 601 amp:to 1,000 amps 301.04 2 1 Phone.( 206)852.8751 I Fax:( ) °Vet 1,000 amain volts 552.26 2 i ---- _ — j Temporary services or feeders installation,alteration,and/or r Email: jschoenberg@zoomcare.com 1 relocation Owner installation:This installation is being made on property that 7 own which is not 200 amps or lc _ 1 59.3E ' I intended for sale,leave,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 4t?0 amps y 1 125.08 _2 IOwner signature: Date: • 1 amps to 599 amps 168.54 2 " j Branch circuits-new al,ration,or extension,Ptr Cane/ it APPLICANT ; CONTACT PERSUN ( —i 1 I - -- _-- —___--- _• -- - . A.Fee for branch circuits with 1 Business name: Scott I Edwards Architecture LLC �� about service or feeder fee, , 7 42 22.26 2 _ etch branch circuit 1 Contact name: Mark Steinhardt t 33.Fee for branch circuits wiriest, '� j service or feeder fat,first Address: 2525E_Bums_Ide_St _ i— branch circuit _ 56.18 ' 2 ! City/Slate/ZIP. Portland, OR 97214 t Each add'I brands circuit ` 7,42 , 311.64 2^ Phone:( 503)896 5385 Fax::�—) ""—` I miscellaneous(service or feede.nqt IIWhidedj ( Each manufecturod or modular I I 67 t4 2 .-dweiline.service and/or feeder I Email: msteinhardt ai seal/ com — p' - —....�� Reconnect only t jj 67 8q 2'�� F CONTRACTOR calian circle T I 67.842 J Porn. or irrt j Business name: .N+;Contractors, inc Attn:Seth Kiser Sign or outline lifhting 1 6784 2 I Address: 7235 SW Stephen Ln. i si i el circua(s)or limited-energy _ g Q See Page 2 2 p fend,alteration,or e�xtetsion. j, _ I Each additional inspection over allowabtt in and of the above- City/State/ZIP: Portland,OR 97225 _ _ i i— r Addtvonal inspection(I hr min) r 65.25/hr t l Phone:( 503)291-6988 t Fax:( ) Invcsti8tion(1 hi ruin) .. , 90.00/hr . , Email: seth©norwestgc.com ' lndusnialilant(t hr min) _ 78 18/hr _ !,—.. _._._ • ___ _ Inspections for which:lc fee is i CCP!Lic.: r lle'tbiC8iLlc ` L}.. t+ „ssrrctficall_listexl{y,h:mil3 1 1 9O.OU/hr ugeELECTRICAL PERMIT FEES Suprv.blectt Jcian signature,required: • _ _ _- _ — Subtotal ). 0 /y- _ Date: , 0 Plan Review Required(25fo of�ennit fee) i 1 1h tttt rtsmrc+�i{ �f C+ ,*il _. _ . __ �— -�-Z- ! —�� " a J * — " t' State surcharge(12%a of t�cnrit far: - A_ P Msra�' TOTAL PERMIT FEE:7)4 _+7 Authorized signature! �i•'y�"`e"t _ �._ r - - This pern:rt application expires if permit is nut obtained wrlhin fern !.Print name: Mark Steinhardt., .--`_. I,Dale: 101'19121 ,- days after it has been accepted as complete. -`--."..-- -- • Number of inspections allowed per permit tAtioitdinglPermi a .t PermitApp ft.it_ERE due Rey OF/17/2015 440-4611T(1 tIGE/COMAVEO I a. i 4 n At s py—tC> . 2 Electrical Permit Application FOR OFFICE ESE ONl.s Rea.,a5 City of Tigard `-�, r p� Date/B,.:ilia 202! " �trmita: � -(D&30 w 13125 SW Hall Blvd.,Tigard,OR 97A7d OF TIGARD U ply Review 'ennsd Permit N }icy �y� Phone: 503,718.2439 Fax: 503.59 l Ors DIVISION t1 Date.=0r ¢/ „..„,, p.2,Q21v c)z/40 Inspection Line: 503.639.4175 1t-L1Ilk 0 DIVISION ReadyDate/By:: fur' " "'" "" 71 Ci i�R 17 p g g y r"s 0 See Page 2 for" Internet: www.ti and-or. ov Notified/Method: dr a 1 I Supplemental information l New construction Addrtrcwt F WOR ..l 1 Gi i/ PLAN REVIEW. !I ��rr TYPE ❑ X /alter '1 li 4 i. I►-,, 't m�. ' Please check all that apply(submit'2 sets of plans w/items checked) Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other; ID Service the available fault current 0 Marinas and boatyards. CATEGORY OF CON•' iS a exceeds 10,000 amps at 150 volts or ❑Floating buildings. 0 1-and 2-famil y dwellin less to ground,or exceeds 14,000 0 Commercial-use agricultural g at Commercial/industrial ❑Accessory building amps for all other installations. buildings. 0 Multi-family, 0 Master builder ❑Other: 0 Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived """ — 0 Addition of new motor load of system. Job#:BUP2021-00248 Job site address: 11958 SW Garden Place 100HPormore. ❑ A', E ^l-r',"1-3^, i City/State/ZIP:Tigard,OR 97223 ❑Six or more residential traits. occupancy. 4 - '.. Ii Health-care facilities. ❑Recreational vehicle parks. --� 0 Service or feeder 600 amps or more. Suite/bldg./apt#: I Project name:Zoom+Care Billing&Help Office 0 Hazardous locations. 0 Supply voltage for more than .,,.„, 600 volts nominal. - Cross street/directions to job site: FEE SCHEDULE; " , ;..".a i '` " Off SW Hall Blvd at HWY 217&HWY 99W SW Garden Place -qrts..9ilkm I r 4.,,�,m,Fins Total „,-„„,<.. « .,, .a,�... ___, , .. . New residential single-or multi-family dwelling unit ' Subdivision: Lot#: Includes attached garage. _ 1,000 sq fl or less 168 54_T 4 Tax map/parcel# 2S 101 BB01300 Ea add h 500 s ft or portion 33.92 t DESCRIPTION OF WORK " ""„" "'" '"El Limited energy,residential 75.00 Extend existing circuits to facilitate new/relocated lights. New panel"A2'off of existing panel twith above sy ft.1„ Limited ene multi-famil is teat ershrt8maarerosalgsEttproottinwrittos cur new4tiiTs morn "-' gy y 75.00 residential(with above ..tl i ^S1'lhtaaf se watyf hArjQr nnw LOndtans l .. �� Renewable Energy, ■ See Pa a 2 1 ,, P] OPERTY'OWNER= TENANT ,..„„ Services or feeders installation alteratiosh_andh r relocation Name: Zoom+Care Contact:Jeffrey Schoenberg 200 amps or less 2 100.70 ; 201 AO 2 h Address:1455 NW'riving St#600 l 201 ames to 400 amps III133.56 1 L. - - 401 amps to 600 amps 200.34 aniiii 40 City/State/ZIP Portland OR 97209 amps m " 601 amps to 1000 301.04 113 `Phone:( 206)852-8751 [Fax:( ) `" Over 1,000 am s a volts 552.26 2 ry Tempora services or feeders installation,alteration,and/or �. Email: jschoenber zoomcare com relocation Owner installation:This installation is being made on property that 1 own which is not € 200 amps or less 59.36 i a 1 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 am.s 125.08 2 I x APPLICANT , ,,c , k T „ ' N CONTACT PERSON A Branch hoc circuits cu s_in m Owner signature: Date: amps168 54 A.Fee bran h g"lteration or extension in nits with Business name: Scott I Edwards Architecture LLC above service or feeder fee 7 42 22.26 - 2 , ,., _ ----- each branch circuit A �,�, CAontact name: Mark Steinhardt B.Fee for branch circuits without Address: 2525 E Burnside St service or feeder fee,first 56 l8 2 _.„,„ �.. ».,•„ �, ems._..- branchiitiuit s "". N > City/State/ZIP: Portland, OR 97214 Each add'l branch circuit 7,42 311.64 ' 2 i -^ __ Mis, coos vi e or fee er not included)_ ii Phone:( 503)896-5385 Fax ( ) Each manufactured or modular 67.84 2 dwellin service and/o tee er r 1 Email: msteinhardt@seallp.com Reconnect onl 67.84 € ��>�' 2 CONTRACTOR Pwnp or irrigalan circle T 67 84 i 2 Business fadOr�, Lit Attn:Seth Kiser Sr or outlinelt#litin 6784E l 2 Signal cirewt(s)or limited energy 1 Address: 7235 SW Stephen Ln.p � .L11.altahonr or extesston ❑ See Page 2 t 2 Each additional ins,5ecl o ver allowable in anLof the above City/State/ZIP Portland,OR 97225 i ® __ „„ .._.. „.„,„.„„, _ ,_ __"®__r, Additional inspection(1 hr min) 6625/hr Phone:( 503)291-6986 Fax:( ) Investi tion(1 hr min) 90.00/hr Industrial lent 1 tr min 78.18/hr Email: seth@norwestgc.com . r-- ��� I _"-„ „,."_-, „� _. ___ Inspections for which no fee is 90.00/hr MI CB Lic" 8g 2 " I Ieelfical h is T.B.D. I—su L ., T.B.D. f s rcciscally listed Vitt-min �- ---' _ -'•'-"-- i ELECTRICAL PERMIT FEES Suprv.Llectrtcian signature,required: T.B.D. Subtotal: C4i Nremt riaune, T.B.D. Date Plan Review Required(25%of permit feel• . .'Air ,„..., " �_ ",°"""""""""""""' '°-`"""'"""""`�` — State surcharge(12%ofpermit fee: Y jpi Authorized signature: M..4e.- TOTAL PERMIT FEE. ^^^` :,-. This permit application aspires if a permit is not obtained within 180 Print name: Mark Steinhardt I Date: 10/19/21 days after it has been accepted as complete. �.. - """` `^'">°^y^'W"-- ( • Number of inspections allowed per permit I:\Building\Permits'ELC PcrmitApp_EI.R ERE.doc Rev 06/I7/2015 440-461ST(I I/05/COMAVEB 1 4 .. ,_:;. RECEIVE Electrical Permit Application OCT q 9841 FOR OFFICE St )Nl Received /y !']/ �„ City of Tigard r��t Date/By:11/D! 2o21 j,. ermit# fitlrZl-co 00 13125 SW Hall Blvd.,Tigard,OR 97z.1d I T OF TIGARD Plan Review / tr DUPzo21-aOzq.8 1 a. Phone: 503.718.2439 Fax: 503.59$illi�°DIIvG DIVISION Date/By r 21 2 ,�, Related Permit#: Inspection Line: 503.639.4175 Ready DateBy. briar— ® See Page 2 for TIGARD• forInternet: www.tigard-or.gov Notified Me[hod 11G Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction X Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked). ❑Demolition [1]Other: 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ I-and 2-family dwelling X Commercial/industrial [I]Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑ Master builder ❑()firer: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#:BUP2021-00248 .lob site address: 11958 SW Garden Place 100HP or more. ❑"A">"E","l-z","1-3", City/State/ZIP:Tigard, OR 97223 0 Six or more residential units. occupancy. $l Health-care facilities 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:Zoom+Cafe Billing&Help Office ❑Hazardous locations ❑Supply voltage for more than ❑Sem ice or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE 1 Off SW Hall Blvd at HWY 217&HWY 99W, SW Garden Place Description I Qtv. I Each I Total I " New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#:2S1016601300 Ea.add'(500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential Extend existing circuits to facilitate new/relocated lights. New panel"A2"off of existing panel (with above sq.ft.) 75.00 2 Limited energy,multi-family "A'(existing teedels to remain unchanged)providing circuits for new office system furniture, 75.00 2 residential(with above sq.ft.) new point of use water heater new condenser uri and air handler. Renewable Energy ❑ See Page 2 ❑ PROPERTY' OWNER TENANT Services or feeders installation,alteration,and/or relocation Name: Zoom+Care Contact:Jeffrey Schoenberg 200 amps or less 100.70 2 Address:1455 NW(riving St#600 201 amps to 400 amps 133.56 2 i 401 amps to 600 amps 200.34 2 City/State/ZIP: Portland, OR 97209 601 amps to 1,000 amps 301.04 2 i Phone:( 206)852-8751 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or d Email: jchoenberg@zoomcare.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.i 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 iy X APPLICANT X CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Scott i Edwards Architecture LLC above service or feeder fee, 7.42 2 each branch circuit Contact name: Mark Steinhardt B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 2525 E Burnside St branch circuit City/State/ZIP: Portland,OR 97214 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 503)896-5385 Fax: : ( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: msteinhardt@seallp.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: NW Contractors, Inc Attn: Seth Kiser Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 7235 SW Stephen Ln. panel,alteration,or extension. City/State/ZIP: Portland, OR 97225 Each additional inspection over allowable in any of the above 1 Additional inspection(1 hr min) 66.25/hr Phone:( 503) 291-6986 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: Seth@norwestgc.com Inspections for which no fee is CCB Lie.: OR 89425 Electrical Lic.: T.B.D. Suprv.Lic.: T.B.D. specifically listed(/hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: T.B.D. Subtotal: Print name: T.B.D. Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): r Authorized signature: M,"( tat TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Mark Steinhardt Date: 10/19/21 days after it has been accepted as complete. * Number of inspections allowed per permit. I\Budding\PermitssELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(II/05/COM/WEB 1 ii Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: "Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE • Fee for all residential systems combined: $75.00 Description I Qty. I Each I Total I y Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n B• urglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 n G• arage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) E Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 n Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: n O• ther: Each additional inspection is 66.25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(' lir min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1) Fee for each commercial system: $75.00 • Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n A• udio and Stereo Systems n Boiler Controls n C• lock Systems n D• ata Telecommunication Installation n F• ire Alarm Installation n HVAC n Instrumentation n Intercom and Paging Systems n L• andscape Irrigation Control* n M• edical ❑ Nurse Calls ,t n O• utdoor Landscape Lighting* n Protective Signaling n Other: } Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 6n I:\Boildiug\Permits\ELC PertnilApp_ELR_ERE.doc Rev 06/17/2015