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PLBG - 1456315
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PLBG - 1456315
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Last modified
2/1/2013 12:23:30 PM
Creation date
7/21/2004 11:19:03 AM
Metadata
Fields
Template:
Permits
Permit Address
105 BREITENBUSH RD E
Permit City
Detroit
Permit Number
555-96-06622
Parcel Number
105E01BC14700
Permit Type
PLBG
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 /> <br /> ~ ~ BUILDING I ~ AG EXEMPT BUILD[NO ~ I ELECTRICAL <br /> ~ ; DWELLING I ~ BUILDING DEMOLITION ~ I~IiNOR EL LABEL <br /> <br /> ~ ~ DWELLING LABEL r ~ SITE PLAN REVIE~N t V I PLUMBING <br /> <br /> ~ ~ MANUFACTURED DWELLING ~ I SITE EVALUATION ~ ~ MECHANICAL <br /> t ~ MANUFACTURED STORAGE ~ ~ SITE EVALUATION/SEPTIC ; ~ DRIVEWAY <br /> ~ ~ PRE-FAS ~ I SEPTIC ~ r INFORMATION <br /> <br />NAME OF APPLICANT: <br /> <br />PH# ~ <br /> <br />PROJECT ADDRESS: [O~ ~,~~ ~ <br />WORK DESCRIPTION/ '[~-'~J~ ~. ~'~, ~ <br />(~ I am ~orming ~wor~ I own or occupy. <br /> <br /> I am a registered builder or the authorized representative of a registered builder. <br /> State of Oregon Constru~ion Contra~or's Board Registration ~ <br /> FAX~ <br /> <br /> I am the authorized representative of the pro~ owner or contra~or. <br /> <br /> I will ~ hiring a general contra~or registered with the Constru~ion Contra~ors Board. <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 ~~ <br /> APPLICANT: <br /> <br />FOR OFFIG~ U~E O~Ly: <br /> <br />REV 8/3/95 <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 /> <br />
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