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FOmOm6'; us; o.tY CITY OF AURORA,BUILDING PERMIT Us; <br /> 21420 Main St, PHONE ~e~m~, No,: ..~"~ ' <br /> ~ecel~ By~ Aurora, OR 678-1283 ~y:~ ...... <br /> J <br /> BUILDING PERMI~ APPLICATION <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 PC .... ~/.~ ,, DATE <br />1. ~ob Description HRB ,, gAT <br /> ~'ID~NT,At. ' "[ COMMERCIAL , a N.W ~ <br /> ~ AddiSon U Relocation [ IJ A~ition ; I~ Sign [ , ~ J, <br /> <br /> ,j Ac~esso~ ~thor ~ ~ C~n~ of ~u~n~y (J ~her <br /> <br /> Sq;ar. FOet~ ~asemer)t~ : ....... / j ~ain~r~ tl;~] S~n~Ft~r: ~ ] Garage' ~/~ ~ Heighi~ tz~,~' <br />2. Location of Installatian <br /> <br /> Wat Meter Size' Ty~ Ba~ Flow. --' <br /> . . ........ . ,. <br />3, Contractor Informatlen <br /> <br /> ,J { u~ders~a~d that [ must registe~ as a construction ~ntr~or if ~he str~tUre )s so~ or offe~ for sase ~iore ot upon ~m~etion, <br /> ~ I will bo my Own genera{ <br /> )1 I him subconir~mrs, I will hi(e any Su~ntractorn r~ered with the ~nstr~n ~ntractor's ~ard, it ) change my mind and ~ hire a general ~ntr~toF, I <br /> ~t tact wi I a co ~[rac or who s rog sured w th the Co;)st~ion Con~ar's ~oard ~ will imm-~ -,- - -- =~. ~ .,-* - <br /> Conbac~0r Business n~e.....& a; . ., 1 Phone: <br /> Mailing <br /> ? ! am~regi$Iered builder OR ~he authodz~ rep~senlaltve of a t~is~r~i builder, <br /> <br />4. F~e ~ebe~ule <br />VALUA) ~ON (See "Valuation Sch~uJe" lo ~t~rm~ne valuation based on ~uam fo~a~,)' ~ate Surcharge ~ ~ <br /> <br />(.o)~lru~l)0~ Responslbilitie~ on I)1~ reverse Side of [his fo~, ~atiofl ~a~ t~ Pro. dy ~~ <br /> <br /> <br />