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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 />APPLICATION <br />Su,D~N~ I(~.D.O ,, AGEXEM,TSU~LD~NG , ' ELECmCA, <br />DWELLING ~ BUILDING DEMOLITION ~ ~ MINOR EL LABEL <br /> <br />DWELLING LABEL ~ ~ SITE PLAN REVIEW ~ ~ P,UMBING <br />MANUFACTURED DWELLING ~ r BITE EVALUATION ~ ~ MECHANICAL <br />MANUFACTURED STORAGE t ~ SITE EVALUATION/SEPTIC ~ ~ DRIVEWAY <br /> <br />PRE-FAS ~ SEPTIC <br /> <br />PROJECT ADDRESS: <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 builder. <br />State of Oregon Construction Contractor's Board Registration # <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 are checked prior to issuance of a permit. It is the responsibility of the applicant <br />to assure that ail 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 />SIGNATURE OF APPLICANT: ~ <br /> <br />FOE 0FHCE USE ONLY: <br /> <br />MJb' PAGE: <br /> <br />BUEBIVI"aON: <br /> <br />REV 5116196 <br /> <br />ZOBE: C81~ STREtT: TAX ACCT/: <br /> <br />B~C~ <br /> <br /> <br />