Laserfiche WebLink
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 /> ~ ~ BUILDING ~ AG EXEMPT BUILDING ~ ELECTRICAL <br /> ~ ~ DWELLING ~ BUILDING DEMOLITION ~ MINOR EL LABEL <br /> , r DWELLING LABEL ~ SITE PLAN REVIEW ~ PLUMBING <br /> ~ ~ MANUFACTURED DWELLING ~ SITE EVALUATION ~,J MECHANICAL <br /> I ~ MANUFACTURED STORAGE ~ $!TE EVALUATION/EiEPTIC l, I DRIVEWAY <br /> ~ ~ PRE-FAB ~ SEPTIC [ I INE'ORMATION <br /> <br />NAME OF APPLICANT: <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />PH# <br /> <br />I am performing the work on property I o~vo or occupy, <br /> <br />I am a registered builder or the authorized irepresentative of a registered builder, <br />State of Oregon Construction Contractor's Board Registration ,fl . <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 a simultaneous rewew process where zoning, septic (if applicable) and <br />construction requirements are checked prior to issuance of a permit, tt is the responsibility of the applicant <br />to assure that all necessary information has been pr6vided, <br /> <br />As soon as all requirements of the review have been met, you will be notified that your permit has been <br /> <br />SIGNATURE OF APPLICANT: ~,, <br /> .... / ? <br />FOR OFFICE US ONLY.' <br /> <br />REV 8/3/95 <br /> <br /> <br />