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Permit
r' CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2011 -00395 IGAAD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2011 T Parcel: 2S 110AB00200 Jurisdiction: Tigard Site address: 14411 SW PACIFIC HWY Project: Rialto Subdivision: CANTERBURY SQUARE Lot: Project Description: (3) branch circuits for Type I hood exhaust Contractor: SURGE ELECTRIC Owner: KOLVE, G C 13617 NE 61ST AVE 14389 SW PACIFIC HWY VANCOUVER, WA 98686 TIGARD, OR 97224 PHONE: 360 - 772 -1321 PHONE: FAX: 866 - 929 -4771 FEES Quantity Description Date Amount 3 crt Branch Circuits wo /Purchase 07/15/2011 $71.02 Specifics: Service or Feeder 1 ea 12% State Surcharge - 07/15/2011 $8.52 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: 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 0 95 - 01 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. _ v/ / • Issued By: / Permittee Signature: eN\ L .' 2. / e9 77' 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. 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