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P/I:ASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILl BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TFCHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />DWELLING ~ ~ BUILDING DEMOLITION ~ ~ MINOR EL LABEL~ <br />DWELLING LABEL [., i SITE PLAN REVIEW LUMBING <br />MANUFACTURED DWELLING ~ SITE EVALUATION ~ ~ MECHANICAL <br />MANUFACTURED STORAGE ~ ~ SITE EVALUATION/SEPTIC ~ I DRIVEWAY <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />(Z~)/''' i 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 Registration # <br />FAX# <br /> <br />I am the authorized representative of the property owner or contractor. <br /> <br /> I will be hiring a general contractor registered with the Construction Contractors Board, ,~- ,~ o~.~_:\ <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 permiL 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 /> // . ~, <br /> <br />LOT~ BLOCK~ <br /> <br />REV 813195 <br /> <br /> <br />