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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTEI) TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICAT~0N <br /> <br /> ~-~ DWELLING ~ BUILDING D~:MOLITION ~ ~ MINOR EL LABEL <br /> ~ DWELLING LABEL ~ SITE pLAN REVIEW I ~ PLUMSING <br /> ~ ~ MANUFAGTIJR~-D DWELLING ~ SITEI~VALUATION I ! MECHANICAL <br /> <br /> ~ ~ MANUFACTURED STORAGE ~ SITE EVALUATION/SEPTIC <br /> <br /> EOEA PU¢ NT. HO IUU <br /> <br />PROJECTA RESS: )-,, <br /> <br />WORK DESCRIPTION: ~ mJ~ ~1~ ~, ~// , <br /> <br />( ) I am perfOrmin~ the work on prope~ l 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 # ~,5! . <br /> <br />"~ I am the authorized representative of the property owner or contractor. <br />( ) I will be hirin8 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 ail requirements of the review have been met, you wi[[ be notified that your permit has been <br />issued and ready to be picked up., <br /> <br />FOR OmCE' USE ONLY; <br /> <br />PAGE:__ ZONE: _,. CflOSSS'TIP,~EI': T/LX ACG"T~: <br /> <br />REV 316195 <br /> <br /> <br />