Certificate of Occupancy A
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CITY OF TIGARD
Residential Certificate of Occupancy
Permit No.:11/1S1' _ _ (VI 21 - Address: I 16 5G c 4 s -t
Owner /Contractor: , - ate kJ (A.4 D ,2cs.,s iiwl.
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Date of Final Inspection: .i� /ti - d 4_ Inspector: u
This structure has been found to be in substantial compliance with the provisions of the State of Oregon One & Two Family Dwelling
Specialty Code and is hereby approved for occupancy.