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The City of Portland, Oregon

Planning and Sustainability

Innovation. Collaboration. Practical Solutions.

Phone: 503-823-7700

Curbside Hotline: 503-823-7202

1900 SW 4th Ave, Suite 7100, Portland, OR 97201

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Construction and Demolition Debris Management Form

Please enter the permit number and site address for this project:
e.g. 1120 SW 5TH or 5TH AND MAIN
STEP 1 – Identify all debris generated from this project and how it will be handled

STEP 2 – Read and accept (retain a copy for your records)

In an effort to achieve waste prevention and recycling goals, I understand I am required to recycle construction waste in accordance with City Code 17.102.270 and associated Administrative Rules. I will comply with all regional and state rules and regulations pertaining to solid waste management including Metro Code Chapters 5.01 and 5.05. I understand that failure to comply with these requirements is considered an infraction and subject to an assessment (up to $500 for first violation – City Code 17.102.090). I will convey this information to all contractors and subcontractors on this project.

Responsible Party
*This section for internal use only