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PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILl. BE DIRECTED TO THF NEXT <br />AVAILABLE BUILDING CODE Ti~CHNIC.IAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br />[.-.~ r~U~LDING ~ AG EXEMPT I~UILDING L._.J ELECTRICAL <br /> L~ BUILDING DEMOLITION ~ ~ MINOR EL LABEL <br />~ ~ DWELLING LABEL L-,--J SITE PLAN REVIEW ~ PLUMBING <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 rag?tared builder. <br /> State of Oregon Construction Contractor's Board Registration # ('~xy',76 . <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 simultaneous review process where zoning, septic (if applicable) and <br />construction requirements are checked prior to issuance of ~ permit, It is the l'esponsibility of the applicant <br />to assure that all necessary information has been provided. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />FOR OFFICE USE ONLY; <br />MAP PAGE: I ZONE: ~~'~ <br /> <br /> MAR 10 1995 <br />MARION (~OUNTY ~ <br /> <br />REV 3/6/9~ <br /> <br /> <br />