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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRI:CTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br /> APPLICATION SUBMITTAL <br /> <br />TYPF 0F/~FPLICATIO(~ <br /> [] BUILDING [] AG EXEMPT BUILDING [] I~CTRICAL <br /> [] DWELLING [] BUILDING DEMOLITION [] MINOR EL LABEL <br /> [] DWELLING LABEL [] SITE PLAN REVIEW [] PLUMBING <br /> [] MANUFACTURED DWELLING [] SITE EVALUATION [] MECHANICAL <br /> E~ MANUFACTURED STORAGE [] SITE EVALUATION/SEPTIC E~ DRIVEWAY <br /> [] PRE-FAB [] SEPTIC [] INFORMAT,ON <br /> <br />NAME,,,OF APPLICANT; [/[~( It ~..~,c~P' ~ PH# <br /> I am pe~o~ing the work an prope~ I own o~ eccupy. <br /> <br />I am a registered builder or the authorized representative of a registered builder. <br />State of Oregon Construction Contractor's Board Registration # <br />FAX# <br /> <br />I am the authorized representative of the propert7 owner or contractor. <br /> <br />will be hiring a general contractor registered with the Construction Contractors Board. <br /> <br />This application may go through a simultaneous review process where zoning, septic (if applicable) and <br />construction requirements are checked prior to issuance of a permit. It is the responsibility of the applicant <br />to assure that all necessary information has been provided. <br /> <br />As soon as all requirements of the review have been met, you will be notified that your permit has been <br />issued and ready to be picked up, <br /> <br />I certify that I have read this application and state that the information given is correct. I agree to <br />comply with all state laws and county ordinances relating to building construction. I will authorize <br />a representative of Building inspection to enter on the property for the purpose of making <br />inspections for this permit. <br /> <br />SUBDIVISION: LOT# BLOCK~ <br /> <br /> <br />