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BUILD - 1455672
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BUILD - 1455672
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Last modified
2/1/2013 11:57:36 AM
Creation date
7/21/2004 11:10:02 AM
Metadata
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Template:
Permits
Permit Address
8792 HOLMQUIST RD SE
Permit City
Aumsville
Permit Number
555-96-05908
Parcel Number
081W31C 00800
Permit Type
BUILD
Permit Doc Type
Permit Document
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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />-~ TYPE OF APPLICATION. ~'-'--"--'~ <br /> UILDING ~ I AG EXEMPT BUILDING ~ I ELECTRICAL <br /> <br /> ~ DWELLING I ~ BUILDIN,G, DEMOLITION ~ ~ MINOR EL LABEL <br /> ~ DWELLING LABEL I ~ SITE PLAN REVIEW t__a PLUMBING <br /> ~] MANUFACTURED DWELLING I ~ SITE EVALUATION ~ MECHANICAL <br /> ~., ~ MANUFACTURED STORAGE I ; SITE EVALUATION/SEPTIC ~ ~ DRIVEWAY <br /> ~ ~ PRE-FAB I ~ SEPTIC ~ ~ INFORMATION <br /> <br />NAraE OF ^PPUC^.T: <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />( } <br /> <br />I am performing me work on propeAy I own or occupy. <br /> <br />I am a registered builder or the authorized representative of a registered builder. <br />State of Oregon Construction Contractor's Board Registration # ~/(/,~7~' <br />FAX# <br /> <br />( ) I am the authorized representative of the property owner or contractor. <br /> <br />( ) I will be hiring a general contractor registered with the Construction Contractors Board. <br /> <br />This application may go through a simultaneous review process where zoning, septic (if applicable) and <br />construction requirements are checked prior to issuance of a permit. It is the responsibility of the applicant <br />to assure that all necessary information has been provided. <br /> <br />As soon as all requirements of the review have been met, you will be notified that your permit has been <br />issued and ready to be picked up. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />REV ~3/9s <br /> <br /> <br />
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