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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFOP~v~ATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAIt.ABLE BUILDING CODE TECHNICIAN, <br /> <br />APPLICATION SUBMITTAL <br /> <br />TY~E OF Af'[~ICATIOrN, <br /> <br /> ~ I~U{LOING L~J AG EXEMPT BUILDING L__I ELECTRICAL <br /> <br /> L.---J DWi-'LUNG ~ BUILDING DEMOLITION ~ a MINOR EL LABEL <br /> L..--J DW'~B. LiNG LABEL I.,,.,.J SITE PI. AN REVIEW i i PLUMBING <br /> <br /> t ,, ,,; MANUFACTURED STORAGE { ; SITE ~'VA~.UATION/BEPTiC I)RIVEWAY <br /> ~ PRE-FAB , SL~IO <br /> <br />EROJECT ADDRESS: <br /> <br />WQ,RK DESCRIPTION: <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 resistered builder. <br />State of Oregon Construction Contractor'~ 6o~1~ Registration # <br /> <br />I am the authorized representative of the Pml~Ay owner. <br /> <br />This application may go through a simultaneous review process where zonin§, septic (if applicable) and <br />construction ~equirement5 are ched~ed prior to issuance of a permit. It is the responsibility of the applicant <br />to ~sure that a[I necessary information has been provided. <br /> <br />As soon as ail 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 />REV 2J1/9~ <br /> <br /> <br />