Correspondence CITY OF TIGARD
13125 S.W. HALL BLVD. . "7J A
TIGARD, OR 97223
D PCEM
IMPORTANT PERMIT NOTICE
DMS ELECTRIC INC SAY '' 2006
8502 SE STARK ST CIT O q
PORTLAND, OR 97216 -1140 p_ 4 O , , INC Dr
Electrical Signature Form
Permit #: ELC2005 -00786
Date Issued: 5/25/2006
Parcel: 2S110AA -01500
ibK31 Site Address: 1-07-1-1-SW CANTERBURY LN BLDG 5
Subdivision: CANTERBURY CREST CONDOS
Block: Lot: 010
Jurisdiction: TIG
Zoning: R -12
Remarks: Building 5, new 6 unit condominium. 12,478 AIC
Addresses: Units 1 through 6.
Your company has been indicated as the electrical contractor for the permit indicated above. In order for
the electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Division.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
CANTERBURY CREST DMS ELECTRIC INC
109 EAST 13TH STREET 8502 SE STARK ST
VANCOUVER, WA 98660 PORTLAND, OR 97216 -1140
Phone #: 360- 695 -7700 Phone #: 503 - 209 -9298
Reg #: ELE 37 -742C
LIC 118073
SUP 4542S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X Vat. c ,' /e Pe - te , ' 1�
Signature of Supervising Electrician
If you have any questions, please call 503.718.2433.