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I"LEASIE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />APPLICATION_ <br />BUILDING ~ r AG EXEMPT BUILDING ~ ~ ELECTRICAL <br />DWELLING ~ BUILDING DEMOLITION ~ MINOR EL LABEL <br /> <br />DWELLING LABEL ~ SITE pLAN RevIEW [ ~ PLUMBING <br />MANUFACTURED DWELLING I I SITE EVALUATION ~ ~ MECHANICAL <br />MANUFACTURED STORAGE t, ~ SITe BVALUAT1ON/sePTIC ~ I DRIVEWAY <br /> <br />WORK DESCRIPTION: <br /> <br />I am peffOrmin~ the work On property { 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 /> <br />I am the authorized representative of the proper~ owner or contractor, <br /> <br />I will be hiring a seneral contractor registered with the Construction Contractors Board. <br /> <br />This application may go through a simultaneous review process where zoning, septic (ff applicable) a. nd <br />construction requirements are checked prior to issuance of e permit. It is [he responsibility of the Applicant <br />to assure that all neCessary information has been provided. <br /> <br />As soon as all requirements o( 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 />FOR OF¥iCE USE ONLY: <br />MA, P PAG~ ~ *~--770N~:: ~ CRO~$ STRIP"T: <br /> <br />REV 316195 <br /> <br />TA.X ACCT#=. <br /> <br /> <br />