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HomeMy WebLinkAbout068-010-018ro ; 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 major labor and materials for construction of the proposed prope improvement: YES[i�NO[ ]. 2. I HAVE[=VE NOT[ ] signed an application for a ,building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR' S LICENSE NO. 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: CITY: PHONE: CONTRACTOR'S 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 SIGNED:I PROPERTY OWNER: `-RJ SOCIAL SECURITY NUMBER: DATE: W' 1��6 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed propert improvement (yes or no) �. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) construction:' Name Address Phone Contractors License No. to provide the proposed City. 4. I plan to provide portions of this work, but I have hired the following' person to coor nate, supervise, and provide the major work: Name Address 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 n , Address Phone Type of Work , S igned : Property Own. Social Security umb r Date NOTE: This Owner -Builder Verification is sent to you as required 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 permitted to issue the permit. COUNTY OF BUTTE - Department of Public Works .f- 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 nameand bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed,property improvement (yes or no) 2. I (have/have not) JJI( signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed constructio�j�k ' Name ���� Address t City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to c ordinate, supervise, and provide the major work: Name Address 1 7 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 Signed: Property Own Social Security umber -� Date NOTE: This Owner -Builder Verification is sent to you as required 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 permitted to issue the permit. COUNTY 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed•property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction:., /"- Address pity Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to,FcyX inate, supervise, and provide the major work: Address Phone Contractors License No. City 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name A //-. 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