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Ion or omission of fact (whether intentional or not) in this application or any other required document, as well as any misleading statement or omission, may be cause for revocation of permit and/of certificate of occupancy, regardless of how or when discovered. I acknowledge that work related to this Building Permit Application may be subject to regulations governing the handling, removal and/or disposal of asbestos and/or lead-based paint. (initials) FAX this form to (503) 823-7425 or E.

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