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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WiLL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br /> A?P[ICAIION SUBMII'rAL <br /> <br />_Type OF~ APPLIC_ATION <br /> <br /> BUILDING I I AG EXEMPT I~UILDING ~ ELECTRICAL <br /> <br /> · I DWELUNG ~,,,t BDILDING DEMOLITtGN ~ MINOR EL LABEL <br /> L__..J DWELLING LABEL I I SrI'E pLAN REVIEW ELUM~ING <br /> <br /> [ 1 MANUFACTURED DWELLING L., ~ SITE EVALUATION ~, ~ MECHANICAL <br /> <br /> r ~ MANUFACTURED STORAGE ~-, t BITE EVALUATION/SEPTiC ~ I DRIVEWAY <br /> <br /> L ~ PRE-FAB ~ ~ SEPTIC L.__J INFORMATION <br /> <br />WORK DESCRIPTION: <br /> <br />I am a registered builder or the authorized representative of a registered b ' 0 C T 2 1995 <br />State of Oregon Construction Contractor's Board Registration ~ <br />FAX~ ~AR[ON COUN~ <br /> BUILDING INSPECTION <br />I am the ~uthor[zed representative of the properW owner or contractor, <br /> <br />I will be hirin§ 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 />construct{on requirements are checked prior to issuance of a permit. It is the respensibiHW of the applicant <br />to assure that all necessary information has been provided. <br /> <br />~,s soon as all requirements of ~he review have been met, you will be notified that your permit has been <br />issued and ready to be picked up. <br /> <br />FOR OFFIC~ USE Olay: ~ <br /> <br />~ PAGE: ZONE:{r~J~ c~oss ~: ~~ ~ T~ AC~ <br /> <br />REV gl3195 <br /> <br /> <br />