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Certificate of Occupancy y n CITY OF TIGARD CERTIFICATE OF OCCUPANCY s 1! Permit #: BUP2010 -00129 COMMUNITY DEVELOPMENT Permit Issued: 06/15/2010 T f;GARD' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102CC00500 Jurisdiction: Tigard Site address: 13500 SW PACIFIC HWY 92 Subdivision: Lot: 0 Project Description: TI Class of Work: ALT Type of Use: COM Type of Constr: VB Occupancy Group: B Occupancy Load: 15 Project Name: Fantastic Sam's • Owner: 13500 PACIFIC CORP BY CAPOZZOLI ADVISORY FOR, PENSIONS INC, 21500 HAGGERTY ROAD, SUITE 100 Phone: Contractor: CREATIVE CONTRACTORS & DESIGN 15357 UNION SCHOOL RD WOODBURN, OR 97071 Phone: 503 - 984 -3220 Fax: 503 - 981 -7784 This Certificate issued 8/11/2010 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. N Building Inspector Building Official POST IN CONSPICUOUS PLACE