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ACTIVITY ~ <br /> <br />PLEASE FILL OUT THE FOLLOWING INFOI~,MATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLI~ATiGN. <br /> <br /> ~ BUILDING ~ AG EXEMPT BUILDING ~ · I ELECTRICAL <br /> ~-,~J DWELLING ~-~ BUILDING DEMOLITION i / MINOR EL LABEL <br /> ~ ~ DWELLING LABEl. ~ SITE PLAN REVIEW L~ PLUMI]ING <br /> ~--~ MANUFACTURED DWELLING ~ SITE EVALUATION ~ MECHANICAL <br /> I ~ MANUFACTURED STORAGE [. I SITE EVALUATION/SEPtIC ~ DRIVEWAY <br /> ~,~ PRE-FAB ~ SEPTIC ~ INFORMATION <br /> <br />~NAME OF APPLICANT: <br /> <br />PROJECT_ADpRESS: <br /> <br />W~O RKpES,,C RI .PTIO.N: <br /> <br />( ) <br /> <br />(~' <br /> <br />( ) <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 />will be hiring a general contractor registered with the Construction Contractors Board. <br /> <br />This application may go through ~ 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 es all requirements of the review have been met, you wi, be notified that your permit has been <br />issued and ready to be picked up. <br /> <br />REV 813195 <br /> <br /> <br />