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ACTIVITY # <br /> <br />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 />TYPE OF APPLICATION <br /> <br /> 6UILDING ~ ~ AG EXEMPT BUILDING <br /> <br /> r I DWELLING I I BUILDING DEMOLITION I <br /> ~ I DWELLING LABEL ~ t SITE PLAN REVIE~ <br /> ~ ~ MANUFACTURED DWELLING ~ I BITE EVALUATION <br /> I ~ MANUFACTURED STORAGE ~ ~ SITE EVALUATION/BEPTIC <br /> <br />ELECTRICAL <br /> <br />MINOR EL LABEL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />DRIVEWAy <br /> <br />~NFORMATION <br /> <br />NAME OF APPLICANT: <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />( ) <br /> <br />I am performing the work on property I own or occupy. <br /> <br />I am a registered budder or the authorized representative of a registered builder. <br />State of Oregon Construction Contractor's Board Registration # /~¢'.~'%'¢",5/ . <br />E^X , <br /> <br />( ) I am the authorized representative of the properly 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 (ff 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 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 /> <br />