Permit I TY TI u � C OF AR D c ;
G
4", DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT #: ELR99 -0051
DATE ISSUED: 03/18/99
CO
PARCEL: 1S134DA -10000
SITE ADDRESS...: SW TRACT ' H'
SUBDIVISION •DAKOTA MEADOWS ZONING:R -12 PD
BLOCK • LOT •O0H JURISDICTN:
Project Description : Installation of timer for backflow prevention device.
Location is in 'Tract H', across the street frog 11380 SW Thunder Terrace.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER - LANDSCAPE /IRRIGAT..:X
GARAGE OPENER • CLOCK • MEDICAL
HVAC • DATA /TELE COMM..: NURSE CALLS
VACUUM SYSTEM • FIRE ALARM OUTDOOR LANDSC LITE:
OTHER: :: HVAC • PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 1
Owner: FEES
CONTOUR LANDSCAPING type amount by date recpt
12485 SW TOOZE RD PRMT $ 40.00 DEB 03/18/99 99- 313799
SHERWOOD OR 97140 5PCT $ 2.00 DEB 03/18/99 99- 313799
Phone #: 682 -1302
Contractor:
CONTOUR LANDSCAPING $ 42.00 TOTAL
12485 SW TOOZE RD
REQUIRED INSPECTIONS
SHERWOOD OR 97140 Low Voltage Insp
Phone #: 682 -1302 Elect'l Final
Reg #..: 5698
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of is . if work is suspended for lore than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon ''ility Notific. on Center. Those rules are set forth in OAR 952 - 001-0010 through OAR 952 - 001 -0080. You may obtain copies of
these rules or direct que ions o OIWC at (503)246-1987.
Iss�e. by
■ L I _ L 4,4 . P,ermi tee Si,g ature 4 4 4 ��
OWNER INS ; �'j"
The installation is being made on property I own which is not intended or ``--��
sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' N : DATE:
LICENSE NO:
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Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
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