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ACl'IVIT¥ # __,, <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WI/l_ BE DIRECTED 10 TItE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLIC,~TION <br /> <br /> ~ r DWELLING <br /> ~ - ~ OWELLiNG LABEL <br /> ~_._l MANUFACTURED DWELLING <br /> ~ MANUFACTURED STORAGE <br /> L-,...J PRE-FAB <br /> <br />BUILDING DEMOLITION <br />SITE PLAN REVIEW <br /> <br />SITE EVALUATION <br /> <br />SiTE EVALUATION/SEPTIC <br />SEPTIC <br /> <br />ELECTRICAL <br /> <br />MINOR EL LABEL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />DRIVEWAY <br /> <br />NAME OF APPLICANT; <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />I am performing the work on property I own or occupy. <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 /> <br />I am the authorized representative of the property owner or contractor. <br /> <br />I will be hiring a Beneral contractor registered with the ConstruCtion Contractors Board, <br /> <br />This application may go throuBh a simultaneous review process where ;coning , septic (if applicable) and <br />construction requiremen~ are chocked prior to issuance of a permit, It is the responsibility o( the applicant <br />to assure that all necessary information has been provided, <br /> <br /> soon as all requirements of the review have been met, you will be notified that your permit has been <br /> <br />SIGNATUI~E OF APPLI6ANTt _. , <br /> <br />r~R (~EIC:E ~$E <br /> <br />MAP PAGE: ZONE: C~O$$ $~: TAX ACCT,L* <br /> <br />REV 31619B <br /> ) <br /> <br /> <br />