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Permit - 1305636
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Permit - 1305636
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Entry Properties
Last modified
2/9/2013 1:58:07 PM
Creation date
9/5/2003 8:36:33 AM
Metadata
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Template:
Permits
Permit Address
10788 SIMPSON RD SE
Permit City
Aumsville
Permit Number
555-95-17274
Parcel Number
081W20 00600
Permit Type
Permit
Permit Doc Type
Permit Document
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,cT,v,,, ?sW 7a..? <br /> <br />PLffASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRI~CTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN, <br /> <br />APPLICATION SUBMITTAL <br /> <br />BUILDING ~J AG EXEMPT BUILDING ~ ELECTRICAL <br />DWELLING t J EUi~.,DING DEMOLITION ; I MINOR EL LAeEL <br />D~LLINB ~EL ~ $~E P~N ~VIEW <br />MANUFACTURED DW~ING S~E ~ALUA~ON ~ ~ MECHANICAL <br />MANUFACTURED STOOGE ~ ~1~ ~ALUATION/S~C ~ DRIVEWAY <br />PRE-FAB ~ ~ S~TIC ~ INFORMATION <br /> <br />I am a registered builder or the authorized representative of a registered builder, <br />State of Oregon Construction Contractor's Board Poe§ strati~m # ...... <br />FAX~ <br /> <br />I am the authorized representative of the proPen'y owner or contractor. <br /> <br />I will be hiring a general contractor registered with the Construction Contractor~ Board. <br /> <br />This application may §o through a simultaneous review process where zoning , septic (if applicable) and <br />construction mqulrements are checked prior 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'nlet~ you will be notified that your permit has been <br />issued and read,/to be picked up, <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> <br />
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