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ACTIVITY # <br /> <br />PLEASE EILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO.THI: NEXT <br />AVAILABLE BUILDING CiODI: TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> [ ~ BUILDING <br /> ~ I DWELLING <br /> ~ ,,J DWELLING LABEL <br /> <br /> J~ MANUFACTURED DWELLING <br /> ~ I MANUFACTURED STORAGE <br /> I ~ PRE-FAB <br /> <br />I ,.,,,J AG EXEMPT BU DING i i ELECTRICAL <br />BUILDING DEM~L[~ ~ ,~ MINOR EL LABEL <br /> <br /> SITE N REVIEW ~ ~ PLUMBING <br /> ~ ~ MECHANICAL <br /> <br />J ~ SEBTIC <br /> <br />NAME OF APPLICANT: <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />I am performing the work on properb/I own or occupy, <br /> <br />I am a registered builder or the authorized representative of a registered buiJder. <br />State of Oregon Construction Contractor's Board Registration # <br /> <br />I am the authorized representative of the property owner or contractor. <br /> <br />i will be hiring a general contractor registered with the Construction Contractors Board, <br /> <br />This application may go through a simuJtaneous 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 wi[I be notified that your permit has been <br />issued and ready to be picked up. <br /> <br />FOR O~"ICE USE ONLY: <br /> <br />MAp PAGE: 1 ZONE: ~CROSS S'I'F[I~-I': <br />REV <br /> <br /> <br />