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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 />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> UILDING } ~,, i AG EXEMPT BUILDING ~ ELECTRICAL <br /> <br /> ~ DWELLING ~ ~ BUILDING DEMOLITION ~ MINOR El. LABEL <br /> t.,,, I DWELLING LABEL ~ ~ SiTE pLAN REVIEW ~ PLUMBING <br /> <br /> t J MANt~EACTURED DWELLING I r BITE EVALUATION ~ -J MECHANICAL <br /> ~ [ MANUFACTGRI~D STORAGE c, ~ SITE EVALUATION/SEPTIC ~ DRIVEWAY <br /> I ; PRE-FAB ¢ t SEPTIC ~ INFORMATION <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTIO.N: <br /> <br />NAME OF APPLICANT: ~,Jic-~l-' ~.4/~o..~,~ r~,~I~' p,#~ .-z~. od _(~/~ <br /> <br />( ) <br /> <br />I am performing the work on property I own or occupy. <br /> <br />t am a registered builder or the authorized representative of a registered builder, <br />State of Oregon Construction Contractor's Board Registration #. °L/ 8 ~ (dE' <br />FAX# <br /> <br />I am the authorized representative of the property owner or contractor. <br /> <br />[w[[[ 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 issuan,ce of a permit, It is the responsibility of the applicant <br />to assure that all necessary informatlon has been prov,ided, <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 /> <br />