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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION A,~ YOU WILL BE DIRECTED TO THE NEXT <br /> <br /> APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> BUILDING t i AG EXEMPT BUILDING i ~ ELECTRICAL <br /> <br /> ~, J DWELLING L~ BUILDING DEMOLITION I I MINOR EL LABEL <br /> <br /> I I DWELLING LABEL [ ~ SITE PLAN REVIEW ~ ~ PLUMBING <br /> I I MANUFACTURED DWELLING I I BITE EVALUATION ~ I MECHANICAL <br /> <br /> L-.-J MANUFACTURED STORAGE r ~ SITE EVALUATION/~EPTIC I I DRIVEWAY <br /> ~ PRE-FAB I I SEPTIC I ~ INFORMATION <br /> <br />NAME OF APPLICANT: <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION:'~*' -- c~'Y '~',~Z I ~y/~__4(.,¢~ . <br /> <br />( ) I am performing the work on pdSperty I own or'~ccupy. <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 §eneral contractor re§istered 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 ~ 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 I:o be picked up. <br /> <br />REV 8131SS <br /> <br /> <br />