Permit a CITY OF TIGARD ELECTRICAL PERMIT
. '' a COMMUNITY DEVELOPMENT Permit #: ELC2010 00406
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/05/2010
T U,? L� 9 Parcel: 2S103DB08800
• Jurisdiction: Tigard
Site address: 11225 SW MORGEN CT
Subdivision: GENESIS NO. 3 Lot: 87
Project: BREWIN
Project Description: (2) branch circuits for heat pump and A/C.
Owner: FEES
BREWIN, SHARON F & MICHAEL K Quantity Description Date Amount
11225 SW MORGEN CT
TIGARD, OR 97223 2 crt Branch Circuits 08/05/2010 $63.60
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 08/05/2010 $7.63
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:
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 through OAR 952- 001 -0100. You may obtain a - - • - • =s or direct questions to OUNC by calling 503 46.6699 or 1.800.332.2344.,
Issued By: _: Permittee Signature:
IIIP
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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 an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the protect
Approved plans are required on the job site at the time of each inspection.
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