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SESPNEW - 1467176
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SESPNEW - 1467176
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Last modified
2/11/2010 11:21:03 AM
Creation date
8/9/2004 2:29:09 PM
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Permits
Permit Address
10647 LEVERMAN RD SE
Permit City
Aumsville
Permit Number
555-96-08241
Parcel Number
081W29C 02600
Permit Type
SESPNEW
Permit Doc Type
Permit Document
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ACTIVITY # <br /> <br />PLFJ~SE FILL OUT THE FOLLOWING INF. ORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />.TYPE OF APPLICATION <br /> [] BUILDING * [] AG EXEMPT BUILDING [] E[-ECTRICAL <br /> [] DWELLING [] BUILDING DI:N[OLI'[ION [] MINOR EL LABEL <br /> [] DWELLING LABEL [] SITE PLAN REVIEW [] PLUMBING <br /> [] MANUFACTURED DWELLING [] SITE EVALUATION [] MECHANICAL <br /> <br /> [] MANUFACTURED STORAGE [] SITE EVALUA~PTLC.~ /~/~ [] DRIVEWAY <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 builder_ <br />State of Oregon ConsthJction Contractor's Board RegistmtJon ~ /---/Z=~._,~,,~"~ '"'- <br /> <br />t am the authorized represenJative o t e property owner or ~ctor. <br /> <br />I will be hidng a general contractor registered with the Construction Contzactors Board. <br /> <br />This application m~y go through a simultaneous review process where zoning, septic (if applicable) and <br />construction requirements are checked pdor to issuance of a permiL It is He responsibility of the applicant <br />to assure that all necessary information has been provided. <br /> <br />As soon as all requirements o! 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. [ agree to <br />comply with all state laws and county ordinances relating to building construction. [ will authorize <br />a representative of Building Inspection to enter on the property for the purpose of maktng <br />inspe tIon,,or,blspe it./-) . '///, <br /> <br />FOR OFFICE USE ONLY; GEODISTRJCr: FLOOD PLAIN__ SIJDE NlSTOf~C WETLANDS LAND USE C, ASE~ <br />~ PA GE: ZONE: -- C, RO$S $ FREET; TA~ A CC Ttt ~ <br /> <br /> <br />
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