Permit n
11 CITY OF TIGARD ELECTRICAL PERMIT
� z , COMMUNITY DEVELOPMENT Permit #: ELC2009 -00161
Date Issued: 04/13/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S136DD01300
Jurisdiction: Tigard
Site address: 6855 SW BAYLOR ST
Subdivision: WEST PORTLAND HEIGHTS Lot: 2
Project: Tillamook Sales
Project Description: TI add (6) circuits.
Owner: FEES
GSP LLC Quantity Description Date Amount
BY DWIGHT SCHWAB, 15450 SW BOONES 6 crt Branch Circuits 04/13/2009 $80.10
FERRY RD STE #2
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 04/13/2009 $9.61
Contractor: Electrical
DEXHEIMER ELECTRIC INC
10639 SE FULLER ROAD
PORTLAND, OR 97222
PHONE: 503 - 786 -0886
FAX: 503- 786 -2040
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $89.71
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 throug 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.
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Issued By: 1 O 4 Q c 3\ Permittee Signature: �.a f U A\ / t� A Ion
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 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.
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