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PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN, <br /> <br />APPLICATION SUBMITrAL <br /> <br />APPLICATION. ~ <br />tlUILDING ~ A~ EXEMPT BUIL[)ING L~.J ELECTRICAL <br />O~LLING ~ ,J BUILDING D~OLITiON ; MINOR EL ~B~L <br /> ~ PLUMBING <br /> <br />MANUFACTUR~ DWELLING L ~ SI~ ~ALUATION MECHANICAL <br />MANUFACTUR~ STOOGE. ~ SI~ ~ALUA~ION/S~PTIC ~ DRIV~AV <br />pRE:FAB SE~IC <br /> <br />PROJECT ADDRI:S;~:: <br /> <br />WO...RK DESCRIPTION: <br /> <br />PH# <br /> <br /> am performing the work on property I own or occupy. <br /> <br />am a registered builder or the authorized representative of a registered builder. <br />State of Oregon Construction Contractor's.Board Re$istration # .... <br /> <br /> am the authorized representative of the propeAy owner or contractor. <br /> <br /> will be hiring a general Contract? ~egistered with the Construction Contractors Board. <br /> <br />This application may go thm~Jgh a simultaneous, review process where zoning, septic (if applicable) and <br />construction requirements are checked prior to issuance of a pecmit, 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 CE APPLICANT: <br /> <br />FOR OFlaCE t~E ONLY= <br /> <br />REV 31el95 <br /> <br /> <br />