Prepare an Acknowledgement for Issuance of Building Permit with this template form for the State of Oregon, which must be signed by the applicant for a building permit that is exempt from licensure under ORS 701.010 (6). The form includes an acknowledgement by a Notary Public and a copy of the relevant section of Oregon Revised Statutes 701.055.

This is a USA contractor form in MS Word format, and is easy to download, fill in and print. Buy the form once, and it's yours to use as often as you require.