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HomeMy WebLinkAbout073-280-015COUNTY 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 improvement (yes or no) S 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with th following person (firm) to provide the proposed construction: Name kI 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: Property Owner Social Security Numbe Date /el©13 �9 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. ' � 1 t : y 4 , rl ppp��h� �r Y , � a •� ! w a � r 5 � � la t ,. ` � a ., eN 'ii,� ,�� ^ � `r y s � � � "' , • t• * 1 BP).:' S � T F1 � � ._ � 1 .:r ! �4 An •' I n• 4t , , b v ;r t�' wr „��.. P � j;'. P v •rl :1 „1r:rt I �I I' �� • #e 1�'r ♦ y1Y rr,� � Yom',( � ,.x ) irti.y - - • a �+ � , � i •' a � s 1 A '. 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