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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BI: DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> ~ ~ BUILDING ~ AG EXEMPT BUILDING t ELECTRICAL <br /> <br /> DWELLING ~ [ BUILDING DEMOLITION I I MINOR EL LABEL <br /> ~ ~ DWELLING LASEL r ~ SITE PLAN REVIEW I, I PLUMBING <br /> ~ ~ MANUFACTURED DWELLING ~ ~ SITE EVALUATION I ~ MECHANICAL <br /> <br /> ~ ~ MANOFACTURED STORAGE ~ ~ SITE EVALUATION/SEPTIC L,__.I DRIVEWAY <br /> <br /> ~ ~ PRE-FAB ~ SEPTIC <br /> <br />NAME OF APPLICANT: <br /> <br />pROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: _ /"'f/~./ ~("~',~,/,/~"~C, c. ~7'/m/I/. <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 general contractor registered with the Construction Contractors Board, <br /> <br />FOR OmCE USE ONLY; <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 />As soon as all requirements of the review have been met, you will be notified th~)_)~/~'~a~el~ <br />issued and ready to be picked up. <br /> <br /> MARION COUNTY <br /> <br />REV 3/B/95 ~. <br /> <br /> <br />