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ACTIVI'IY # <br /> <br /> PLEASE FILL OUT ~I ~ ~ FOLLOWING INFORMATION AND YOU WILL BI] DIRECTED TO 'i'HE NEXT <br /> AVAILABLE BUILDING CODE TECHNICIAN, ~ ~' ~J - <br />.© O ci %- I Lis 2,8 <br /> ^?PLICAHON SUBMItTal <br /> <br />TYPE OIc APPLICATION <br /> <br /> i ~ BUILOJNG ~ AG EXEMPT BUILDING ELECTRIOAL <br /> t t DWELLING ~ BUILDING DEMOLITION ~ ] MINOR EL LABEL <br /> ~ DWELLING LABEL ~ SITE pLAN REVIEW __ PLUMBING <br /> IVfANUFACTURED DWELLING ~ SITE EVALUATION L._.J MECHANICAL <br /> MANUFACTURED STORAGE ~ SITE EVALUATiON/SEPTiC DRIVEWAY <br /> PRE-FAa ~ SEP3tIC <br /> <br />PROJECT ADDRESS: ,~ . - ~ /~-~-'~-~ <br /> <br />WORK <br /> <br />{ am a reBistered builder or the authorized representative of a registered builder. <br />State of Oregon Constru~ion Contrh~or~ Board 'Registration ~ <br />I am the authorized representative 0f the prope~ owner or contra~or. ~ ~~L <br />I will be hiring a general ~n~or registered with the Cons:fuSion Contra~ors 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 responsibilky 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 no[ified that your permit has been <br />issued and ready to be picked up. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />FOR OF~CE' USE ONLY: <br /> <br /> <br />