My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
AGEX - 1468082
Images9
>
Public Works - Permits
>
Building
>
FOR PUBLIC VIEW ON INTERNET
>
COMPLETED FILES - INACTIVE
>
96-XXXXX
>
AGEX - 1468082
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/8/2013 5:26:50 PM
Creation date
8/9/2004 2:40:10 PM
Metadata
Fields
Template:
Permits
Permit Address
10908 SIMPSON RD SE
Permit City
Aumsville
Permit Number
555-96-09450
Parcel Number
081W20 00900
Permit Type
AGEX
Permit Doc Type
Permit Document
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
5
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
Show annotations
View images
View plain text
PLEASE FILL OUT TH~: FOLLOWING INFORMATION AND YOU WILL BE DIRECTED ¥O THE NEXT <br />AVAILABLE BUILDING CODE T£CHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TyPE OF APPLICATION <br />{~ BUILDING <br />~] DWELLING <br />{~ DWELLING LABEL <br />{~ MANUFACTURED D~ING <br />~ MANUFAC~REO STO~G~ <br />~ PRE~AB <br /> <br />· [~AAG EXEMPT BUILDING E] ELECTRICAL <br /> <br />E~ BUILDING DEMOLITION [] MINOR EL LABEL <br />[] SITE PLAN REVIEW [] PLUMBING <br />E] SITE EVALUATION ~ MECHANICAL <br />[] SITE EVALUATION/SEPTIC [] DRIVEWAY <br />[] SEPTIC [] INFORMATION <br /> <br />NAME OF APPLICANT: <br /> <br />E · <br />WORK DESCRIPTION: <br /> <br />I am pedorming 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 oi the property owner or contractor. <br /> <br />(~-~' I will be hidng a general contractor registered with the Conslruction 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 penTiiL It is ~he responsibility o1' the applicant <br />to assure that all necessary inl'ormafion 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 /> <br /> <br />
The URL can be used to link to this page
Your browser does not support the video tag.