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12015 SW GAARDE ST
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CITY OF TiOARD ELECTRICAL PERMIT
PERMIT#: ELC2002-00606
DEVELOPMENT SEPVICES DATE ISSUED: 12/26/02
13125 SW Hall Blvd., Ticrard, OR 97223 (503) 639-4171 PARCEL: 2S103CC-01600
SITE ADDRESS: 12015 SW GAARDE ST
ZONING: R-4.5
SUBDIVISION: COLONIAL VIEW
BLOCK: LOT : 011 JURISDICTION: TIG
Project Description: Reconnect only
_
RESIDENTIAL_UNIT TEMP SRVC/FEEDERS_ _ MISCELLANEOUS_
1000 SF OR LESS _
0 200 amp:! PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG:
LIMITED ENERG`,': 401 - 600 amp. SIGNAL/PANEL:
MANE HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANC!1 CIRCUITS ADD'L INSPECTIONS
0 - 7.00 amp: W/SERVICE OR FEEDER: PER INSPE ;TION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L.BRNCH CIRC: IN PLANT:
601 - 1000 amp: --_ — — _PLAN REVIEW SECTION
1000+arnpivolt: >=4 RES UNITS: 600 VOLT NOMINAL:
Reconnect only—.l SVC/FDR>=225 AMPS: __ CLASS AREA/SPEC OCC: _
Owner: Contractor:
CLARENCE M. ROBNETT
12755 SW 69TH AVE#204
TIGARD,OR 97223
Phone: 503-590-9023 Phone:
Reg #:
_ FEES
Description Date Amount
Required Inspections
I I I'R11'I'j I?L( I'crnut 12 2002 $66.85 �—
I N\IS".State lax 1</-16/02 $5.34 Elect'I Final
Total $72.19
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws NII
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 susuended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rums are set
forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or
1-800-332-2344. Y /'
Issued By: i _�/d�7/ a L f.( ti' � _ Perrnit 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. ELEG'N:
LICENSE N O: — -- — ------- ---— ---— -- -------
Call 639-4175 by 7:00pm for an inspection the next business day