Certificate of Occupancy C I TY CERTIFICATE OF
G TI GA,R® PERMIT OCCUPAhJ
COMMUNITY DEVELOPMENT DEI'Y4RTI91ENT DATE ISSUED: 06/19/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171
PARCEL: 15126�c1C• -01 107
SITE ADDRESS...: 09659 SW WASHINGTON SOUR RE RD
SUBDIVISION ZONING:C -G
BLOCK LOT °
CLASS OF WORT {. :ALT
TYPE OF
OCCUPANCY GRP° : B2 •
OCCUPANCY LOAD:74
TENANT NAME °° °:SAM GOODY
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Remarks: TI
Owner: - - -- __ - -- SAM GOODY C/O STATE PERMIT •
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PO BOX 0224
KENOSHA WI 53141
Phone :: 800 -432 -2597 •
Contractor: -----------------
. TENANT CONTRACTORS INC
: P O, BOX . 1036
ENUMCLAW WA 96022
Phone-*: 206 -825 -3376
Reg *... : 63972
This Certificate certifies that the above referenced building or portion
thereof has been inspected for compliance with the Tigard Building Code
for the group and division of occupancy and use for which the above
referenced permit was issued, and occupancy is hereby granted.
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64116ING INSPECTOR BUIAVP G I .IAL/
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POST IN CONSPICUOUS PLACE
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