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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> ~- BUILDING ~ ~ AG EXEMPT BUILDING ~ ELECTRICAL <br /> I ~ DWELLING ~ BUILDING DEMOLITION ~ ~ MINOR EL LABEL <br /> [ ~ DWELLING LABEL ~ ~ BITE PLAN REVIEW ~ PLUMBING <br /> <br /> L..~ MANUFACTURED DWELLING · I BITE EVALUATION I I MECHANICAL <br /> <br /> r i MANUFACTURED STORAGE ~ SITE EVALUATION/SEPTIC ~ i DRIVEWAY <br /> ~ t PRE.FAB [ I SEPTIC <br /> <br />NAME OF APPLICANT: <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />,,PHj ~h_ Y30/ <br /> <br />( ) <br /> <br />t am performir~8 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 # ¢--2/-/¢/7Z:~ .ZTZ <br />FAX# <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 ~re 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 />FOR OFFIC~ U,SE O~LY: <br /> <br />REV $/1619!~ <br /> <br /> <br />