Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
i Permit #: MST94 -00369
COMMUNITY DEVELOPMENT Permit Issued: 10/05/1994
T r r. , A i? i) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S104CD08700
Jurisdiction: TIG
Site address: 13853 SW BOXELDER ST
Subdivision: Lot:
Project Description: PATH I
Class of Work: NEW
Type of Use: SF
Type of Constr: 5N
Occupancy Group: R3
Occupancy Load:
Fire Sprinkler Required:
Project Name: HILLSHIRE ESTATES #2
Owner:
Phone:
Contractor:
Phone:
Fax:
This Certificate issued 10/24/1995 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 1992 State of Oregon Specialty
Codes for the group, occupancy, and use under which the referenced permit was issued.
Mark VanDomelen
Building Official
City of Tigard
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