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and Commercial Suite Application
TIGARD
Addresses and suite numbers are assigned by the City of Tigard. Once a new address/suite is issued, the city
noties fi 911, USPS,Washington County and various utility providers.This does not change any account information
or replace a"change of address" form.
Directions To Submit Form
I Fill in form I Via email:OscarC@tigard-or.goy
I Attach Site Map or Suite Layout Map(see below) I In person: Permit Center Building Counter
I Fees will be charged when new address is assigned (p3125 SF 1 lull 131Ni.,Toni.OR)
0 Per address$50 Oscar Contreras,Public Works Department
I Per suite $50 OscarC@tigard-or.gov
0 Suite or address to be retired—no charge 503-718-.2687
0 Re-activating suites in our system—no charge
REQUIRED
Attach Site Map or Suite Layout Map
I For Site Maps—show location of building on lot, front entrance and location of driveway along street.
I For Suite Maps—show the locations of current active suites,new suites and suites to be retired.
,
Site Information q 55 siA)
Parcel Number Number or Current Address:
, Residential Property –OR– 0 Commercial Property Number of New Addresses: ?-- afir -4 404
Building Name(if applicable):
Is this property currently in the land use process (i.e.partition,site development review)? 0 Yes ANNo
Contact Information
*Please sketch the building layout with address
Property Management Company (if applicable): locations:
Contact Person: 3en vvilo (6,--6,acc. SE---,---- /9-7-i-d)-,(74,----2,
Phone: 7)) 5 6C--,5 47..,nail:
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IrD&CrPublc Works/MOM Approcatroo Form For mom iOrmation,please mit umr.ligairborsor
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