Certificate of Occupancy CITY OF TIGARD
j i b
DEVELOPMENT SERVICES
CERTIFICATE OF
OCCUPANCY
PERMIT *.......s MST94 -9 ::.
DATE ISSUED: 09/25/96
PARCEL: 25104CA -02600
SITE ADDRESS : 13571 SW LAUREN LN
3UBDIVISION s HILLSHIRE ZONINGaR -7 Pt
BLOCK a LOT :026
CLASS OF WORK.aNEW
TYPE OF USE...: SF
TYPE OF CONSTR :SN
OCCUPANCY GRP.:R3
OCCUPANCY LOAD:2
Remarks: PATH I
Owner: _ _ _ _ ,,,,,
J ROTH
12780 SW 68TH AVE
TIGARD OR 97224 .
Phone *I: 639 -2639
Contractor:
r,. T. ROTH CONSTRUCTION INC
12540 SW 68TH PARKWAY
TIGARD OR 97223
Phone *a 639 -2639
Rep ..a 080970
chi:i Certificate grants occupancy of the above referenced building or portion
thereof and confirms that the building has been inspects. for, compliance wit
the State of Oregon Specialty Codes for the prow. •c upan a and use under
which the referenced permit was issued. 4
..._ ______
BUILDING INS CTOR BUILDING OFFICIAL
POST IN CONSPICUOUS PLACE