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Pi. JEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRIECYED TO THE N~XT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> ~ ~ BUILDING t ~ AG EXEMPT I~UILDING <br /> I I DWELLING ~ ~ BUILDING DEMOLITION <br /> ~ I DWELLING LABEL I . I SITE PLAN REVIEW <br /> ~ J MANUFACTURED DWELLING ~ ~ SITE EVALUATION <br /> <br /> I I MANUFACTURED STORAGE ~ SITE EVALUATION/S~PTIC <br /> <br />i i PRE-FAB SEPTIC <br /> <br />L..--.J ELECTRICAL <br /> <br />MINOR EL LABEL <br /> <br />PLUMBING <br />MECHANICAL <br />DRIVEWAY <br /> <br />PH# <br /> <br />WORK DESCRIPTION: <br /> <br />J 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 Pxegistration # <br /> <br />i am the authorized representative of the property owner or contractor. <br /> <br />I will be hirin§ a 8eneral contractor registered with the Construction Contractors Board. <br /> <br />This application may go throogh a simultaneous review process where zonin~ , 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 requirement~ of the review have been met, you will be notified that your permit has been <br /> <br />issued and ready to be picked up, <br /> <br />SIGNATURE OF APPLICANT.* <br /> <br />FOR OI=FICE· USE ONLY: <br />~ PAGE: ,~ <br /> <br />REV3/6/95 <br /> <br /> <br />