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Permit
— q CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT t"! _ COMMUNITY DEVELOPMENT Permit#: ELR2013 00319 TIGARD 13125 SW Hall Blvd..Tigard OR 97223 503.718.2439 -© Date Issued: 12/17/2013 Parcel: 2S102AC00700 Jurisdiction: Tigard Site address: 12550 SW MAIN ST 110 Project: FRAME CENTRAL Subdivision: BURNHAM TRACT Lot: 1 Project Description: LOW VOLTAGE CAT 5E CABLING 2/5/14,Reprinted permit to add suite#110 to address. Contractor: CHRISTENSON ELECTRIC INC Owner: DOLAN&CO LLC 111 SW COLUMBIA ST, STE 480 BY FLORENCE T DOLAN PORTLAND, OR 97201 4523 NE DAVIS ST PORTLAND, OR 97213 PHONE: 503-419-3330 PHONE: FAX: 503-419-3695 FEES Description Date Amount Specifics: Restricted Energy Permit 12/17/2013 $75.00 12%State Surcharge-Electrical 12/17/2013 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio&Stereo: 0 Boiler Controls: 0 CCTV: 0 Clock Systems: 0 Data&Telecommunications: 1 Fire Alarm: 0 HVAC: 0 Instrumentation: 0 Intercom/Paging: 0 Landscape/Irrigation: 0 Landscape Lighting: 0 Medical: 0 Nurse Calls: 0 Protective Signal: 0 Security Alarm: 0 Other: 0 Total $84.00 Other Desc: 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 throu.• = ' 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: _ L. ! Permittee Signature: 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 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.