Certificate of Occupancy •
CITY OF TIGARD
DEVELOPMENT �������U�����
� J� �*u~� u~m~~~u onxu~n� n SERVICES
��~ � 13125 SW Hall Blvd., Tigurd099722B(503)839-4/71
CERTIFICATE OF
OCCUPANCY
PERMIT # • MST98
DATE ISSUED: 03/16/99
PARCEL: 261169AB-053690
ADDRESS...: 11433 SW JACKIE Cl
SUBDIVISION ^ HAWK MEADOWS ZONING:R-4.5
BLOCK LOT ^006 JURISDICTION:TIG
• ---------- _-_-
CLASS OF WORK.:NEW
TYPE OF USE...:SF
TYPE OF COWSTR:5N
OCCUPANCY GRP.rR3
OCCUPANCY L8AD:2
nc?max`ksn W/ SR P0TH l
�wner: ------------ -------- -
DARRELL AHL
12047 SW CAMDEN LW
BEAVERTON OR 97005
#:
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C ontractor: ---- -------------------
SAM SARICH CONSTRUCTION INC
;26865 SW PETES MOUNTAIN RD
4EST LINN OR 97068
/)hone #: 722-8593
Reg #..: 000612
This Certificate grants occupancy of the above referenced building or portior
hereof and confirms that the building has been inspected for compliance *oit.
the State of Oregon Specialty Codes for the group, occupancy, and use under
whi h the ed.
d i ^� ' � ^r�m
SUI LDING IWSPECTOR /INSPECTIV SUPERVISOR
POST IN CONSPICUOUS PLACE