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City of Woodburn Building Division 270 Montgomery St Woodburn, OR 97071 [PHONE REDACTED] [EMAIL REDACTED] Project Name: Permit Number: Change in valuation to permit: • Submittals must be stamped by the design professional in responsible charge (OSSC 107.3.4) • Revised plans must be in full sets, no slip-sheets • Plans must be in .PDF format Submitted by: Phone: Email: Revision Request Form Complete this form and email it to [EMAIL REDACTED] to request a revision record be created to an existing permit. Staff will email you with a confirmation record number to upload revised documents to for review. I understand the requirements and next steps Summary of changes: