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DWELL - 1466357
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DWELL - 1466357
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Last modified
2/1/2013 1:28:36 PM
Creation date
8/9/2004 2:19:28 PM
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Permits
Permit Address
22120 BUTTEVILLE RD NE
Permit City
Aurora
Permit Number
555-96-07648
Parcel Number
041W08A 00600
Permit Type
DWELL
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 />AYAILABLE BUILDING CODE TECHNICIAN. ~ <br /> <br />APPLICATION SUBMITTAL <br /> <br />TyPE OF APPLICATION <br />[] BUILDING [] AG EXEMPT BUILDING <br />.~ DWELLING [] BUILDING DEMOLITION <br />[] DWELLING LABEL [] SITE PLAN REVIEW <br />[] MANUFACTURED DWELLING [] SITE EVALUATION <br />[] MANUFACTURED STORAGE [] SITE EVALUATION/SEPTIC <br />[] PRE-F^B [] SEPTIC <br /> <br />[] ELECTRICAL <br />[] 'MINOR EL LABEL <br /> PLL!MBING <br />[] MECHANICAL <br />[] DBIVI~NA¥ <br />[] INFOBMATION <br /> <br />WORK DESCRIPTION: /?/~ ~c~ ~o,~ ~' <br /> <br /> I am performing the work on property 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 # <br />FAX# <br /> <br />I am the authorized representative of the property owner or COntractor, <br /> <br />I will be hidng 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 pdor 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 />Insp~ectiona for this permit. <br /> <br />SIGNATURE OF APPLICANT:: . . ~ <br /> <br />SUBDMSION: LOT# <br /> <br />REV 6ff9,96 <br /> <br />WETLANDS LAND USE CASE . <br /> rA~ACC~, <br /> BLOCK# <br /> <br /> <br />
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