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City of Coos Bay 500 Central Avenue, Coos Bay, OR 97420 (541) 2698918 Fax (541) 2698916 MECHANICAL PERMIT APPLICATION Permit No.MEC20 00 Date: Job Address Owner Owners Address Phone Property Owner

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6. If needed, provide any additional recipient information, such as a cover page or a designated recipient's name. This step is not always required, but it can be beneficial for clarity and organization.
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Fax 541 2698916 may be a specific form or document that needs to be submitted via fax.

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