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Required Contractor / Subcontractor List for Certificate of Occupancy One- and Two-Family Dwellings Permit Address: Contractor Performing Work Contractor Name Address /Phone # License Number Work Performed General Contractor Electrical Contractor Low Voltage Contractor Low Voltage Contractor HVAC Contractor Plumbing Contractor Backflow Contractor I signify that the information contained in this list is true and accurate at the time this list was submitted to the City of Woodburn Building Division. Signature: Date: Print Name: This document is to be maintained in the permanent building file. CITY OF WOODBURN Building Department 270 Montgomery St Woodburn, Oregon 97071 (503) 982-5250 FAX: (503) 980-2496 www.woodburn-or.gov