HomeMy WebLinkAboutTemp COO Temporary Certif icate of Occupancy
CITY of OR()�T() DATE APPROVED
BUILDING & ZONING DEPARTMENT
SITE ADDRESS P.I.D.
OWNER BUILDER
MAILING ADDRESS BUILDING PERMIT:
NO. � DATE ISSUED
THE FOLLOWING ITEMS ARE NOTED AS INCOMPLETE OR MISSING. THESE MUST BE CORRECTED
OR COMPLETED AND REINSPECTED WITHIN DAYS OR THIS CERTIFICATE WILL BE VOID.
FAILURE TO CORRECT THESE DEFICIENCIES WILL CAUSE OCCUFANCY VIOLATION CITATIONS TO BE ISSUED.
I HEREBY AGREE TO MAKE THE ABOVE CORRECTIONS AND TO CALL FOR REINSPECTION WITHIN
THE TIME ALLOWED:
OWNER/CONTRACTOR DATE
START BILLING FOR: CITY WATER
CITY SEWER
SEPTIC INSPECTION FEE
BUILDING OFFICIAL
WHITE:OWNER/CONTRACTOR GREEN: BILLING CLERK YELLOW: FILE