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ACTIVITY # <br /> <br />PLEASE FILL OUT THE EOELOWlNG INFORMATION AND YOU WiLl BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE O..~F APP~ICATIq,N <br /> <br /> ~,J BUILDING <br /> I ~ DWELLING <br /> ~,.~ DWELLING LABEL <br /> ~ MANUFACTURED DWELLING <br /> [~ MANUFACTURED STORAGE <br /> <br /> ~ ~ PRE-FAB <br /> <br />AG EXEMPT BUILDING <br />BUILDING DEMOLITION <br />SITE pLAN REVIEW <br /> <br />i · ,SITE EVALUATION <br /> <br />NAME OF .APP~LICANT: <br /> <br />SITE EVALUATION/SEpTIC <br /> <br />~-~ SEPTIC <br /> <br />ELECTRICAL <br />MINOR EL LABEL <br />PLUMBING <br />MECHANICAL <br />DRIVEWAY <br />INFORMATION <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br /> 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. <br /> <br />l'his apgUcatior~ 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 responsibihty of the apphcant <br />to assure thai all necessary information has been provided. <br /> <br />As soon as all requirements of the review have beer met, you will be notified that your permit has been <br />issued and ready to be picked up, <br /> <br />REV 8/3/95 <br /> <br /> <br />