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PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE D.I.RE.,CT~D TO THE NEXT <br />AVA,LABLE BUILDING CODE TECHNIC,AN. <br /> <br /> APPLICATION SUBMITTAL jUL ti 7 <br /> ~RIOR <br />TYPE OF APPL CAT ON. ~UII. DIN6 <br /> i ~ ~ ELECTRICAL <br /> ~-,J ~UILDING ~ AG ~PT BUILDING <br /> <br /> ~ DWELLING I ~ BUILDING D~0LI~ON ~ MINOR ~ LABEL <br /> <br /> ~ ~ t , .,J PLUMBING <br /> ~ J DWELLIN~ ~gEL ~ :BITE P~N REVI~ <br /> <br /> ~ ~ [~N ~ MECHANICAL <br /> ~ ~ MANUFACTURED DWELLING SI~ ~ALUAT ..... <br /> <br /> F":-= I I DRIVEWAY <br /> [ J MANUFACTURED 8TO.GE L .. SI~E ~ALUATIONISEP~C <br /> <br />WORK <br /> DESCRIPTION: <br /> <br /> ~ am performing the work OR prOl~r~/.I own or O~COpy.~ak,~')~- ~J ~ ~-''~/~'(] ~/'~fl V~ <br /> I am a registered builder or the authorized representative of a registered <br /> State of Oregon Construe[on Contra~ods B~ RegJs~atJon ~ <br /> FAX~ <br /> <br />I am the authorized representative of the property Owner or contractor, <br /> <br />(~. I will be hiring a general contractor 'registered'with the Construction Contractors Board. <br /> <br />This application may go through a 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 />FOk OFIrl~ USE O#LY: ( / <br /> <br />SUttlX'Vl~l~: LOT# B~ <br /> <br /> <br />