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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOI_LOWlNG INFORMATION AND YOU WILL BE DIRECTED TO THE NEXI <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />O~APPLICATION <br />UILDING ~ t AG EXEMPT eUILDING ~ ~ ELECTRICAL <br />DWELLING I .,, ~ BUILDING DEMOLITION ~ ~ MINOR ~L LABEL <br /> <br /> DWELLING LABEL ~ ~ SITE pLAN R~¥EW ~ ~ PLUM~.ING <br /> MANUFACTURED DWELLING i ~ SITE EVALUATION i, i MECHANICAL <br /> <br /> MANUFACTURED STORAGE ~ ~= SITE EVALUATION/SEPTIC k-..,J DRIVEWAY <br /> pRE-FAa i ...,i, SEPTIC <br /> <br />WORK DESCR PT[ON: ~ k.j <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 Conl~raCtOr's Board Registration # <br /> <br /> t am the authorized representative of t~e property owner or contractor. <br /> <br /> I will be hiring a general contractor rag!stared with the Construction Contractors Board. <br /> <br />This application may go through a simultaneods review process where zoning ~ septic (if applicable) and <br />construction requirements are checked prior to i~suance of a p~rmit, it is the responsibiliLy of the applicant <br />to assure that all necessary information has been provided. <br /> <br />As soon as all requirements of the review haveI been met, you will be notified that your permit has been <br />issued and ready to be picked up. <br /> <br />FOR OR:ICE USE ONLY: <br /> <br />MAp PAGE: ZONE: __ CRO~;S STREET: TAX ACCT#: <br /> <br />REV 3/6/95 <br /> <br /> <br />