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DWELL - 1456155
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DWELL - 1456155
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Last modified
2/1/2013 12:08:55 PM
Creation date
7/21/2004 11:16:46 AM
Metadata
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Template:
Permits
Permit Address
6605 HAYS LN SE
Permit City
Aumsville
Permit Number
555-96-06248
Parcel Number
081W19C 00600
Permit Type
DWELL
Permit Doc Type
Permit Document
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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 /> <br /> BUILDING [] AG EXEMPT BUILDING [] ELECTRICAL <br />/ [] DWELLING [] BUILDING DEMOLITION [] MINOR EL LABEL <br />[] DWELLING LABEL [] SITE PLAN REVIEW [] PLUMBING <br /> <br />I am ~in~ the work on propel own or ~upy. <br /> <br />I am a registered builder or the authorized representative of a registere,~u~e~{ <br />State of Oregon Construction Contractor's Board Registration # ~--~ '~-,-,~/-~[ <br />FAX# - <br /> <br />I am the authorized representative of the property owner or contractor. <br /> <br />( , will be hiring a general contractor registered with the Construction Contractors Board. Iq~5,~~ <br />T~ app,~o. ~ay go th~u~h a s~mu~tan~,,B review p~SB w~era ~oning, eep~c (i~ app,~b~G) 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 />I certify that I have read this application and state that the information given Is correct. I agree to <br />comply with all state laws and county ordinances relating to building construction. I will authorize <br />a representative of Building Inspection to enter on the property for the purpose of making <br />inspections for this permit. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> <br />
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