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BUILD - 1468318
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BUILD - 1468318
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Last modified
12/12/2011 3:25:38 PM
Creation date
8/9/2004 2:42:35 PM
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Template:
Permits
Permit Address
8784 BROADACRES RD NE
Permit City
Aurora
Permit Number
555-96-09726
Parcel Number
042W25 03000
Permit Type
BUILD
Permit Doc Type
Permit Document
Status
Ready to Film
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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 APPtlCATIOf~ <br />I I BUILO~NQ I I AG EXEMPT BUILDING ~ I ELECTRICAl <br />I ~ D'lh~:l[iqQ I f BUILD~ DEMOUTION t I MINOR EL LABEL <br />I.__l D/i/ia[iq(] LABEL I I SITE PLAN RENEW I I PLUMBING <br /> <br /> ~ MANUFACTURED DV, na I iN(] t.---i SITE EVALUATION t.-.-J MECHANICAL <br /> i__l MANUFACTURED STORAGE i.__.J SITE EVALUATION/SEPTIC t__..i DRIVEWAY <br /> t~ PRE-FAB I ~ SEPTIC c----I INFORMATION <br /> <br />NAME OF APPLICANT; '~~:' <br /> <br />WORK DES(~RIPTION: ~:) ~' (:~ ~/':~O~ <br />(L'~I am pedoflning the work on p~operty 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 hiring a general contractor registered with the Construction Co~tractors Board. <br /> <br />This application may go through a simultaneous review process where zoning, septic (if applicable) and <br />construction requirements are checked Ixior 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 APPLICA , <br /> <br /> <br />
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