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Permit "w CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00082 'I li 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 DATE ISSUED: 4/14/2006 PARCEL: 1S12600-00300 SITE ADDRESS: 09377 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Abercrombie & Fitch #972. Low voltage Data/Telecommunication. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: WASHINGTON SQUARE LLC LIBERTY COMMUNICATIONS BY THE MACERICH COMPANY 2191 NE LIBERTY AVE. 9585 SW WASHINGTON SQUARE RD GRESHAM, OR 97030 TIGARD, OR 97223 Phone: Contact #: PRI 503- 674 -4922 FEES Reg #: ELE 26- 1035CLE LIC 101807 Description Date Amount SUP 3990LEA [ELPRMT] ELR Permit 4/14/2006 $75.00 [TAX] 8% State Surcha 4/14/2006 $6.00 REQUIRED ITEMS AND REPORTS Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow 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 copies of these rules or direct questions to OUNC at 503 - 246 -6699. Issued By: - r 27) Pl'�4 1 Permittee Signature: j,te— 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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OWNER: WASHINGTON SQUAT LLC, PHONE #: CONTRACTOR: LIBERTY COMMUNICAT NS PHONE #: 503-674-4922 Inspection Request Scheduled For: late: 4/21/2006 Pour Time: Code # Inspection Description Co irm # Contact # Message 135 Low voltage 0284' 01 503 - 674 -4927 N Corrections /Comments /Instructions: i x PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 611 (42.36 Ns(Q) L Date: 41 2-11 Phone #: (503) 718- 2-44(o