HomeMy WebLinkAbout064-400-013COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
�1. I personally plan to provide the m labor and aterials for construction of
the proposed property improvement_ � or no) e� --
2. IGG ave/have not) f%%%(/-2 signed an application for a building permit
for proposed work.
3.
I have contracted with the following person
constructi�
Name
Address
(firm) to provide the proposed
Phone Contractors License No.
City
4. I plan to provide portions of this work, but I have hired the following person
to coordinate supervise, and provide the major work:
Name
Address k City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Si 'ed:
Property Owner �" %----Social Security Number
Date %3V 0
7 r M1)f)�
e. •1 ,
$Rl .1 ,U
M
NOTE: This Owner -Builder Verification is sent to you as requir d by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
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