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PLEASE FiLL OUT THE EOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> ~ BUILDING <br /> <br /> ~ ~ DWELLING <br /> i ~ DWELLING LABEL <br /> ~ ~ MANUFACTURED DWELLING <br /> ~ ~ MANUFACTURED STORAGE <br /> ~ t PRE-FAB <br /> <br />~ .-~ AG EXEMPT E, UILDING ~ ELECTRICAL <br /> <br />L..., I BUILDING DEMOLITION ~ ] MINOR EL LABEL <br />I... , ~ SITE pt,AN REVIEW I I PLUMBING <br /> <br />~ ~ SITE EVALUATION ~ J MECHANICAL <br /> <br />~ ~ BITE EVALUATION/SEPTIC L.....J DRIVEWAY <br />~ ~ SEPTIC ~ INFORMATION <br /> <br />NAME OF APPLICANT: <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />( ) I am performing the work on propedy I own or occupy. <br /> <br />I am a registered builder or the authorized representative of a <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 <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 respons[J;~jty~of the applicant <br />to assure that all necessary information has been provided. ,i,.l~--J~-~'~'fk¢~'~ '~.' <br />AS soon as all requirements of the review have been met, you will be notified that ~ermit has been <br />issued and ready to be picked up./ <br /> <br />SIGNATURE OF APPLICANT; ~ ~ARION O~N <br />FOR OFPICE U~ ONLY: ~ <br /> <br />REV 8/3/ss <br /> <br /> <br />