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ACTIVi'r~ ,f <br /> <br />PLEASE FILL OUT THE FOLLOWING <br />AVAILABLE BUILDING CODE TECHNICI <br /> <br /> A PPLIC~.~ <br />· / 71/ <br />~ BUILDIN~ ~A~PT BUILDING <br /> <br />~ i DWELLING ~ <br /> <br />~ MA~UFAQTU~DD~)~G ~ ~ ~LUATIO~ <br />~ ,,.,,,~ MANU~ACTURE~ STO~E S~E EVALUATION~TIC <br />~ ~ PRE-FAB ~ ~ SEP~C <br /> <br />AND~YOU WILL BE DIRECTED TO THE NEXT <br /> <br />~ ~ UECHANICAL <br />· ~ DRIVEWAY <br />= --J INFGRMA¥10N <br /> <br />NAME O,F APPLICANT: <br /> <br />PROJECT ADDRESS; <br /> <br />WQ~K,,,D,ESCRIPTION: <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 o~ Oregon Construction Contractor's goa~ Registration # ~ ~ ~'-,~~ <br />FAX# <br /> <br />I ~m ~he ~uthorized representative of th~ p~o~ owne~ or contractor_ <br /> <br />I will be hirin~ a ~eneral comr~ctor ~e~i~ wi~h the Construction <br /> <br />This application may go through a simultaneous rev}ew process where zoning, septic (if applicable) end <br />construction requirements are. checked prior to I~ua~ce of a permit. It is the responsibility of the applicant <br />to assure that all necessa~ information has been provided. <br />As soon as all requlrement~ of~"~fevlew have beer~ met~/ou will ~pe notif ed that your permit has been <br /> <br /> <br />