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Permit CITY OF TIGARD E PERMIT III !It . 'COMMUNITY DEVELOPMENT Permit #: ELC2010 -00030 TIGARD 13125 SW Hall Blvd:, Tigard OR 97223 503.639.4171 Date Issued: 01/20/2010 Parcel: 2S104CCO3500 Jurisdiction: Tigard Site address: 13962 SW HILLSHIRE.DR Subdivision: HILLSHIRE ESTATES NO. 2 Lot: 141 Project: Weiner Project Description: Add /alter (2) branch circuits. Owner: FEES WEINER, ARTHUR & Quantity Description Date Amount WEINER, CHRISTINA L, 13962 SW HILLSHIRE DR 2 crt Branch Circuits 01/20/2010 $63.60 wo /Purchase Se rvic a or PHONE: Feeder 1 ea 12% State S urcharge 01/20/2010 $7.63 Electrical Contractor: TYLER ELECTRIC LLC PO BOX 807 • MULINO, OR 97042 PHONE: 503- 829 -2498 FAX: Type of Use: SF Classof Work: ALT Type of Const: Occupancy Grp: • Total $71.23 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'thr�AR 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: C MI. ',Q jjj 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' Q _ 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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Do: i 4, trio Q Cm nsoreo: -vr, mr:rNl-.raf EC nr 2- f arnily dwelling 0 ComrmetCial lnllustrlal ©A cceswry buiding atop, Nj' nn abc monition,. bsifairir,s, 0!Alai•fee '0 '(3llee' builder ❑Other: • O tie. p+bp.. 0 ttira:ruw 0 �` � - -•—�! .•. a pe twanOy alnftvw. $OE SITE f\F01t3V(AT107i AND: LOCATE ' + Iss ara�u a,t, aa , Q Addroa+t eras :vacs 11 o C' ......,.r...1.:;.... le It7a7iPor aurv, «0c,..cr lob no.: b ait:.dcresa: 2 �J'n v J / 1 " Fold 1 .1L" ry SN�1� ❑ S. nraon n n fu r ] �waetknl ` 1 L � � }^ � [] VivtLISrs,re R nl ties [] Styafy wit' :�. rtwv mw ;1tk9tajln iZ11': / LS 1 �K l L ` � i j dUO w[a nominal �'".` ✓j I a it .m, , ens,;. ti a,iic!bl d$�t�,t nn.: I Pnyeet +nDfl'b: • .C11cc•+ino ar 'aae<61L Imps VI mote. �� i L J.. � e'"Y l �� 1 r[k sQiE�L'L:E Cr. ,IS seseet'dircetiogato job a'i:e: I E _�rvw�...,, -- - 1$L a.. h 1 L"«r 1 Cdi re rerlydcatiiel,♦ ante•yr 11- f2s ilyQwe*YngVoid. j 1 Iwe ludes anaoet 4 ga re y. ... LM en.: _1.011 u x lift' __ 168.Sa� _ areet no.: i SLJEdivlston: e a ndePt ;iN sq. fr. of po-tan 3t.9 �l Tax tnapip - .� ,.--- Limited comp. rCC6i[kYl,al r -j � DESEAlP7ION OF'W4RK _ 1,.isiwoe l_ (3.8d I 2 1 .84 _ ,y `" f L amscd enorgy, nw:ti- fam,h' 61..341 2 1 Z r _t? J l i rcidenc ..iii. *pew q 11.5 Services Or feeders in gal !alio alteratiew sii .`er rcbraeh Y 7..2671 mnpr.or lass 7tN}.9o; C 2 P R9PL±R1'1! 0K A )] LF7VAPIM 241 ampssu aaownps 133.!6- T F01 to ',tick 1 �� _i e K y 4C1�pp to 6CO sows x�:7�r r �, t Yi'�Y moott,icamps _ � 301.0e _ 1 . ; Adaress: r 7 `I CO Z .? L) . . l i' .... / Oret 1 smye or vd h� j S11.245 , i� --� ! Temporary services 6r feeders ■ssukotiaa, atterodo , and /or` Ci :y t !Z1P: 1 I b ,_ _ 1 7 x__2—..3 • redo lo_n _ t Phone: ( .) ^1 f -") _ o 5-7 g 3 1 ' Fox! ( ) 2t 03 min or lus9 54J6 7Ti .. L 201 be*. •av t e s .. f)6 . f Owner bessatiatien: - 'fits ia5ui11aitor. is`gleingm3Le a property :hat 1 sum which •.s not ! ;nterricd for sole, Itat6c, r nL, Gt exchange Otcording w ORS 047, 949, 6' and %C1. 404 aat pa:a 1.99 sines , I68.54 , • 2 ��: _ 8rvech Meador new, deers hon. or esieaslba. ptt'ysg i Ownsesignelurc a - I i �" '�� 0 APPLICANT 1 1] CoiYTAC'r' PRRSON , above sm arv, Or (c c f cc. ' 42 1 �aaahblotto cpwR 1 t _ 1 88u mentor i Hoch for a/Met circuit. I "� —" .ririt0rd service or %Orr e s, ' ! 56.19 7 i Con actaxone: ` isrbraa+clt<ifCak 1 ` 2 .14 i;ldrest • Emil add'( biench euwii r :.a2 _ r ' _ _ ^ Mbceidoeova(oervice o* ft!t4cr not ttxbtd C ly' :SVUCJZI P, r: ach now thenlrbd or modifier - —----- dvclifn goviieandlor ruder 67.3.4 J Phone: ( ) Fax : i ) Reconnect.o=Iv 67.84 21 E- nia!I: Pietism in:gpl oe aim d7.84 2 1 CONTRACTOR "— Sign orougre eiipl4Mg 6764 ; 2 • i, Butin:e:s:senie: 114 le Y• .LAC - Y'i` seam vase] ettcraliayoe A.lurems, l ! ; �rinmlei Dtxcriba: Pam 2 2 r; n x _.12.1 —.._ ... ,,� r I Lochaddleonvl r tlo t over'allawmble.tm rteabove i r• —• 'ti Z!I`: b e, t j - '� - - r f { f ` ?._ Z ". �� - - Pe fna_peet u . 25 Y i f t<, f 65 Ih°"4 . �D) o''') 57 Ia rd0 Pu t • i C( I 6 J 1 C(15 1 ic. .t. . l 3 ,.14,c i �- • ,, Lie.: 4 I b+dnti tkew p � l . E ho C7'R!<CAL P Ea2tf7 72 . ! _ 1 (, ear-meal L ie, I Supt., E4xUi iWl3ign0rtoe, � Sult/de1: I ,' �? Plan review (7 %of prm.lt ame1: Print NOW' t ' . /. 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