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ACTIVITY # <br /> <br />PLEASE FILE OUT THE FOEI, OWING INFORMATION AND YOU WILL BE DIRECTED ¥O THE NEXT <br />AYAILABLE BUILDING CODE YECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> BUILDING I ~ AG EXEMPT BUILDING ~ ~ ELECTRICAL <br /> <br /> ~ ,,, ~ DWELLING ~ BUILDING DEMOLITION ~ ~ MINOR El. LAREL <br /> <br /> I, ,I DWELLING LABEL ~ SITE PLAN REVIEW ~ ~ PLUMBING <br /> <br /> ~ ~ MANUFACTURED DWELLING ~ SITE EVALUATION ~ MECHANICAL <br /> ~ ~ MANUFACYURED STORAGE ~ SITE EVALUATION/SEPTIC ~ DRIVEWAY <br /> PRE-FAB ~ SEPTIC <br /> <br />NAME OF APPLICANT: ~.~/-/~.,/ <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 registered buiider. <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 />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 /> <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 OFFICE USE ONLY: <br /> <br />REV 3/6/95 <br /> <br /> <br />