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PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING COD£ 'r£CHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> ~ ~ BUILDING ~ ~ AG EXEMPT BUILDING ~ ~ ELECTRICAL <br /> L...J DWELLING ~ BUILDING DEMOLITION ~ MINOR EL LABEL <br /> <br /> [ ~ DWELLING LABEL L..--.J SITE PLAN REVIEW ~ ~ PLUMBING <br /> MANUFACTURED DWELLING ~ SITE EVALUATION ~ J MECHANICAL <br /> <br /> I ~ MANUFACTURED STORAGE ~ ~ SITE EVALUATION/SEPTIC ~ ~ DRIVEWAY <br /> = ', PBE.EAB BEPT,C £b 6PY <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 §eneral 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 />SIGNATURF OF APPLICANT ., <br /> <br />FOR OFRCE USE ONLY: l, <br />MAPPAGE:~'~ ZONE:__ C.OSSSTR~-T:~[,~:~ ~ /~ YAXACCT,: <br />REV 3/6/95 <br /> <br /> <br />