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Permit T-4 ' ELECTRICAL PERMIT f ,4 CITY OF T�(� _ ' ' � COMMUNITY DEVELOPMENT Permit #: ELC201000222 ns r 1 3125 SW Halvd., Tigard OR 97223 503.639.4171 Date Issued: 05/06/2010 FTZ I 0,;1, O Hall B i 9 Parcel: 2S111CB02300 tai ^ifl:��.:'s � $�iw� Jurisdiction: Tigard Site address: 14885 SW 100TH AVE Subdivision: MURDOCK HILL Lot: 4 Project: Weber Project Description: (3) branch circuits for A/C, furnace, and service outlet Owner: FEES WEBER, MARILYNN C Quantity Description Date Amount 14885 SW 100TH AVE TIGARD, OR 97224 3 crt Branch Circuits 05/06/2010 $71.02 wo /Purchase Service or PHONE: 503 - 309 -1228 Feeder 1 ea 12% State Surcharge - 05/06/2010 $8.52 Electrical Contractor: BEAR ELECTRIC PO BOX 389 DONALD, OR 97020 PHONE: 503 -678 -1355 FAX: 503 -678 -1108 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: R -3 Total $79.54 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 By: ION 1/ Permittee Signature: 5 ...'k- A ip p i \ :C s, '-r7,: 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. CaII 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. MAY- 05- 2010(41ED) 10:30 Bear Electric (FRX)5036781108 P.001 /002 . tlgC go/t5 - 062.1 I • Elcctric:ll_Permit Application RECEI FOR OFFICE 1151; O`1.1' City of. Tigard 111 • 13125 SWHall B1viL, Tigard. 97223 R n 1 C1r : Than 503.639.4171 F 503.3911.1960 MAY I �Y — 5 Z i � teJity �tLa'!'ermn: TiGARD Inspenion;Linr.503 ;639 ®' See Pare2rar , ov ! y si pleraentallnrvrmatian l,ltcrlitt. �rww I g OF TIGA ,• �,, , , u ,,mE; of ',vbItIc . 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