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ACTIVITY # <br /> <br />PI.EASE FILL OUT TIlE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TI:ClINICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />T~YPE OF APPLICATION <br /> ~ L--~ ELECTRICAL <br /> ~ ' ~ AG E~EMPT BUSLDING <br /> ~ BUILDING <br /> <br /> c ~ I I MINOR EL LABEL <br /> L~J DWELLING ~ BUILDING DEMOLITION <br /> <br /> ~'~ ~ ~ MECHANICAL <br /> ~,,~ MANUFACTURED OWELLING BITE <br /> <br /> ~ MANUPACTU~ED STORAGE ~ SI~ EVALUA~ON/SEPTIC I ~ DRIVEWAY <br /> ~ ~ pRE-FA~ ~ SEP~C ~ INFORMATION <br /> <br />NAME OF APPLICANT_.' <br /> <br />PROJECT ADDRESS: <br /> <br />WORI DESCRIPTION: <br /> <br />I am a re~,,istered builder or the authorized representative of a resistered builder. <br /> <br />State of Oregon Construction QontraCtor'$ Board Registration # <br /> <br />I am the authorized representative of the properW owner or contractor. <br /> <br />1 wile be hiring a general contractor registered with the Construction Contractors Board. <br /> <br />This application may go throush · simultaneous review process where zoning, septic (if applicable) and <br />construction requirements are checked prior to issuance of a permit. It is the responsibility of the applicant <br />to assure that all necessary information has been provided. <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 />SIGNATURE OF APPLICANT:' ,, <br /> <br />SLOC~ <br /> <br /> <br />