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CONSTRUCTION CONTRACTORS BOARD PO Box 14140 Salem OR 97309-5052 503-378-4621 www. oregon.gov/ccb HOME ENERGY ASSESSOR HEA CERTIFICATION RENEWAL APPLICATION Name Address City State Zip License Number Expiration Date CHANGES TO INDIVIDUAL INFORMATION No Changes ADDRESS CITY EMAIL PHONE STATE ZIP CHANGE OF CCB LICENSE HEA ASSOCIATED WITH Name of New CCB License Holder CCB License No. Signature of New Owner/Officer/Member/Partner Date SIGNATURE I certify that I have read and will comply with ORS...
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Salem OR 97309-5052 is the zip code for Salem, Oregon.
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