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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABL£ BUILDING COD£ TrCHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> ~ BUILDING ~ ~ AG EXEMPT BUILDING r r ELECTRICAL <br /> <br /> I ~ DWELLING [,,,, .J BUILDING DEMOLITION [ I MINOR EL LABEL <br /> ~ [ DWELLING LABEL ~ ~ SITE PLAN REVIEW ~ ~ PLUMBING <br /> ~ ~ MANUFACTURED DWELLING ~+~ SITE EVALUATION I ~ MECHANICAL <br /> ~ ~ MANUFACTURED ,STORAGE ~ ~ SITE EVALUATION/SEPTIC { ~ DRIVEWAY <br /> ~ J PRE-FAB ~ ~ SEPTIC I I INFORMATION <br /> <br />NAME OF APPLICANT: J~'~d2_C~ . J..~'(~,J,'tc~j % <br /> <br />PROJECT ADDRESS: ~ ~--~Y' '~,~.._L~-) <br />WORK DESCRIPTION: <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 property owner or contractor. ~ <br /> <br />J 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 (if 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 />· SuBor,.,3S~N: LO~. <br /> <br />BLOCK~ <br /> <br /> <br />