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Permit • •.�� CITY OF TIGARD ELECTRICAL PERMIT ` COMMUNITY DEVELOPMENT Permit #: ELC2009 -00350 Date Issued: 07/17/2009 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S125DA11900 Jurisdiction: Tigard Site address: 6570 SW ALFRED ST Subdivision: COOPER MLP96 -0017 Lot: 3 Project: Project Description: (10) branch circuits for repair /remodel. Owner: FEES BLACK, JESSE W & KAREN K Quantity Description Date Amount 6570 SW ALFRED ST TIGARD, OR 97223 10 crt Branch Circuits 07/17/2009 $106.70 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 07/17/2009 $12.80 Electrical Contractor: CONNECTIONS ELECTRIC PO BOX 7136 SALEM, OR 97303 -0026 PHONE: 503 - 390 -7914 FAX: 503- 463 -6863 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $119.50 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 through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued T.�� Permittee Signature: 6 r / 9 - / / 0G/C - 70/," 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' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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. �pz 15 Om O4;zo� conne r 5 03463686 p,1 ^ , � �� , - Electrical �������0� ���UL�8 • ' - ' � 0��»�y��U� � � �O�OFF��� $E ONLY � :'" C � JUL 5 YO ov"*ux vrzq | O^ «~=�^ '"~�m^ ,�� �'` none: »v�"u/� /ux� nv�w/vm� n=»~�* � -----��' — ^ ~4��°' Olin' ,��� • »*n�^m / uu�wwn TI �"mn . ��\Y\� \K�HM��� '----� �----� [ *, r ---- ----� -�---�� ' BUILDING _______� _ ^�,�^�.,/ �/rm� OF WORK ----- �- ---- - ---- ��� — -- _____ ______ PLAN �� New um"nm"m LJ Add t.^^ax / ' "/�����""J���m^��-- U/��i,� � uu� � ������ � o ��� ��,� ~/=, ./.available awl' .*m., Omarin" and 1 C'ATxGonv o«�Vms mwnxN =`m "w� "'�w/m=m� O,m�w�m�` � 0 | �W /u,my dmu|mx �----- �xm|` � h� �ui"x *�**»=u '� �o,� /^«m O '^"�m�*�~��am" [� �«»��noy h �u -- -'-` am= «""» "'/~'au�� ^ �. *w�� _ ������ �� �____ LJ0Uuc O�'" "'p � /=�/^. «m SITE INFORMATION �m» �n��now ---- ---- u/^�`n«,v«�'` u., .. 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"�s,^ *="" °v~v"a� '--- --- --- ---- o",»�",�����_ / 40..5 �� � Address: - - ---- --' — ----� | – ._ ________ ��uxuo�/mp��u""v ( 54,5 2 City/State/711'; ---- ---' ------- .------- -- �---- "�**u«= » ' ��–� � ___ ..-• _�___ _. _-- .. / �, Phone; ) | /� ` --- --- ._ — ��������, d � 90.90 � "x� ( 1 _-_ ' � , '-���= ��� --'. �---� — - --- «"~.m�/~� __ '— ._ /�nwi|: -----�� ----� ----� ----�! ^^ �x� � _ _____ �___ _____ __________ --- � �[� 2 --_ ,xv/x^ -�-------- ' ----- _--_ __-- --_� �---_- � - �� ��� 2 �� - - ^ �" �=="w�~```=*o� - --- Address: .. p ., �_ ------ - �� r ~~ �°~�~~ -- . - ���»~�.mm"nw`m _ �,��^ f���� ~ J[�L extension. /u��b" /��2 z _ ''_ - Krieb additional in.pection over allow ible in :Slay of the hove _ InVeSliKiiliUll per hour i I hr nun) 62.50 • state wrchurge (12% ol permit fee) .. ___ _____ ____ ____ ___ ____ ___ rn� p�xm/� �-- Print --- ---' --- -- — ' �l 4.....„.-- __� _--__-_� ________� �________ Date, '"» v^'"^" v�n�':��b�""�i/�n �m ---� ~r"' ,., woos.