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LETTER OF AUTHORIZATION
PLEASE FILL OUT WHICHEVER APPLIES (OWNER OR
CONTRACTOR):
OWNER:
I , am the property owner(s) of
Owner(s) name
, I authorize , to:
Address (street, city & zip) Name of applicant/authorized agent
(Please check all that apply)
Apply for, sign for, and/or pick up all building permits on my behalf
Sign for and pick up permit number
View and/or obtain duplicate copies of approved building plans
Print Name Phone Number ( )
Signature Date /Expires
Note: A copy of the property owner’s driver’s license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the
property owner’s signature.
OR
CONTRACTOR:
I , am an authorized signatory for
Authorized Signatory’s Name
, I authorize , to
Contractor & License Number Name of applicant/authorized agent
apply for, sign for, and/or pick up building permits on the company’s behalf.
Print Name Phone Number ( )
Signature Date /Expires
Butte County Department of Development Services
PERMIT CENTER
7 County Center Drive, Oroville, CA 95965
Main Phone (530) 538-7601 Fax (530) 538-7785
www.buttecounty.net/dds
FORM NO
INF-18