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Permit - 1291756
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Permit - 1291756
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Last modified
4/19/2011 1:43:24 PM
Creation date
9/4/2003 10:35:54 AM
Metadata
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Template:
Permits
Permit Address
12494 DIECKMAN LN SE
Permit City
Aumsville
Permit Number
555-95-10453
Parcel Number
091W20 00200
Permit Type
Permit
Permit Doc Type
Permit Document
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ACTIVITY # <br /> <br />PLEASE FSI_I_ OUT THE FOI_LOWING INFORMATtON AND YOU WILl. BI: DIRECTI:D TO THE NEXT <br />AVAILABLE BUILDING CODE TFCHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> l ] BUILDING I I AG EXI~MPT BUILDING .)/~ ELECTRICAL <br /> <br /> ~ ~ DWELLING t, ~ BUILDING DEMOLITION [ I MINOR EL LABEL <br /> I ~ DWELLING LABEL ~ SITE PLAN REVIEW I I PLUMBING <br /> ~ ~ MANUFACTURED DWELLING ~ SITE EVALUATION ~ ~ MECHANICAL <br /> ~ ~ MANUFACTURED STORAGE t,., ~ SITE EVALUATION/SEPTIC ~ ~ DRIVEWAY <br /> <br /> ~ PRE-FAB ~ ~ SEPTIC <br /> <br />~NAME OF APPLICANT: <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <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 buirder, <br />State of Oregon Construction Contractor's Board Registration # <br /> <br />I am the authorized representative of the property owner, <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 ~pplicant <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 APPLICANT: <br />REV 2/1/95 <br /> <br /> <br />
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