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PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NI~XT <br /> <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> ~ ~ BUILDING ~ AG E×I~MPT I~UILDING ~ ~ ELECTRICAL <br /> ~ ~ OWELLING ~ BUILDING 0F.~OLIT[0N ~ MINOR EL LABEL <br /> ~ ~ DWELLING LABEL ~ SITE PLAN REVIEW ~ PLUMBING <br /> UFAOTUFIED DWELLING ~ I gl'i'~ FVALUATION ~ MECHANICAL <br /> ~ ~ MANUEACTURED STORAGE ~ SITE EVALUATION/SEPTiC L--._J DRIVEWAY <br /> <br /> L.~ PRE-FAB ~ SEPTIO <br /> <br />NAME OF APPLI.CANT: <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION.' <br /> <br />performing the work on proper'o/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 8oard Registration # <br /> <br />I am the authorized representative of the propem/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 requirement~ 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 az alt requirements of the review have been met, you wiJ) be notified that your permit has been <br />issued and ready to be picked up, <br /> <br />FOR OI:~C~' IISI= ONLY-' <br /> <br />MAP PAGE: .,, ZONE: -- C~0:5S ~: TA]( ACCT#: <br />REV 3/6/95 dOL7~ <br /> <br /> <br />