Certificate of Occupancy CITY OF TIGARD
4 I CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT #: BUP2003 -00478
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13125 S Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: - �-
PARCEL: 1S134CD-03800
ZONING: R -4.5
JURISDICTION: TIG
SITE ADDRESS: 11990 SW 121ST AVE
SUBDIVISION: LERON HEIGHTS NO.3
BLOCK: LOT: 070
CLASS OF WORK: OTR
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: SR3.3
OCCUPANCY LOAD:
TENANT NAME:
REMARKS: Change of use from R -3 to SR -3.3
Owner:
LUKE -DORF
10313 SWE 69TH AVE
TIGARD, OR 97223
Phone:
Contractor:
Phone:
Reg #:
This Certificate issued 8 grants occupancy of the above referenced building or
portion thereof and confirms that the building has been inspected for compliance
with the State of Oregon Specialty Codes for the group, occupancy, and use under
which the referenced permit was issued.
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BUILDING INSPECTOR BUILDING OFFICIAL
POST IN CONSPICUOUS PLACE