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ACTIVITY <br /> <br />AVAILABLE BUILDING CODE TECHNICIAN. ~C)~ ~C~ S <br /> APPLICATiON SUBMITTAL i ~)[-D <br /> ,..., , , ,, <br /> ~ ~ BUILDING ~ ~ AG EXEMPT BUILDING ELECTRICAL <br /> <br /> ~ DWELLING ~ BUIL~IN~ DEMOLITION ~ ~ MINOR EL <br /> ~ DWELLING LABEL ~ ~ITE PLAN REVIEW ~ ~ ~LUUBIN~ <br /> <br /> ~ ,J UANUFACTURED DWELLIN~ ~ ~ SITE EVALUATION ~ ~ U~CHANICAL <br /> ~ J MANUFACTURED STORAGE I ~ ~ITE EVALUATION/SEPTIC ~ ~ ~RIVEWAY <br /> ~ ~ PR~-FAB / SEPTIC <br /> <br />NAME OF APPLICANT: ( ~/ .;~.~ C%~. PH~ <br /> <br /> . -) ~. , '~... <br />PROJECT ADDRESS: t~Z~ ~[~5 W~ ~ <br />WORK DESCRIPTION: ,~ 2}~ Q~LC. ~ ~ <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 reRistered builder. <br />State of Qregon Construction Contractor's Board Registration # ~ .~C~, <br />FAX# ~'~ <br /> <br />I am the authorized representative of the property owner or contractor, <br /> <br />I will be hiring a genera{ contractor registered with the Construction Contractors Board. <br /> <br />This application may 80 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 responsibilib/of the applicant <br />to assure that ail necessary information has been provided, <br /> <br />As soon as all requirements of the review ha e~been me~ you will be notified that your permit has been <br />issued and ready to be picked up, ,, / /,~2 / <br /> <br />.. omc~ use UB~,: <br /> <br />REV 5116195 <br /> <br />BLOCI~ <br /> <br /> <br />