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Home My WebLink About072-450-004COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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. L. I personally plan to provide the major labor and materials for construction of the proposed property improvement :yes or no) _Wf 2. I ave not) h exa 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 Contractors License No. 4. I plan to provide portions of this.work, but I have hi:.ed the following Person to coordinate, 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 Address . Phone Type of Work Signed: Property Owner Social Security Number Date i 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 per- mitted to issue the permit. COUNTY OF BUTTE — Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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 major labor and materials for construction of the proposed property improvemen ye or no) 2. (hav )/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: Name Address City Phone Contractors 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 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 /S igned : Property Owner �r J Social Security Number 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 per- mitted to issue the permit. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541 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 ma' labor and materials for construction of the proposed property improvement ay or no) 2. Ihave// proposed ave not) signed an application for a building permit for ro osed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate SUDerv s 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 Address . il. Phone Type of Work Signed: l�— Proper ty Owner Social Scc rit Nu Date ,3` 0 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 per- mitted to issue the permit. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovilie, CA 95965 Phone: 916-538-7541 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 ma' labor and materials for construction of the proposed property improvement y or no) 2. I ha /have`not) signed an application for a building permit for the proposed`wor,k.. 3. I have contracted with the following person (firm) to provide the proposed construction: NameZQ &�� Address City Phone Contractors 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 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: 1 Property Owner Social Security Number / 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 per- mitted to issue the permit. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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 major.labor and materials for construction of the proposed property improvementc_1'7�or no) 2. Iaavv /have not) signed an application for a building permit foi"Ehe proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinatecupervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some o"I"the work but I have contracted (hired) the following persons to pro ide the work 'indicated: Name Address Phone. Type of Work Signed: Property Owner A — Social Security Number 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 -per- mitted to issue the permit. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916 -538 -7541 - 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 property improvement es or no) 2. I ee/►ave not) ��v� signed an application for a building permit fora proposed work. 3. I have, ontracted with the following person (firm) to provide the proposed constrnetion: Name Address City Phone tractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coord ate, 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 Address Phone Type of Work i, Signed: Property.Owner �= Social Security Number 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 per mitted to issue the permit. � `•.< 4411++" � I' � � � '. � I i � , I I'q e gg k yp ' ' I I I i, n I Ft 1 r IV y a I II Y /'lfly �y' A i i iu 9. 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