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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> I ~ BUILDING ~ ~ AG EXEMPT BUILDING ~ ~ ELECTRICAL <br /> <br /> I I DWELLING I I BUILDING DEMOLITION I , I MINOR EL LABEL <br /> I I DWELLING LABEL~/' I ,, I SITE PLAN REVIEW t ~ PLUMBING <br /> <br /> MANUFACTURED DWELLING I ~ SITE EVALUATION . ~ ~ MECHANICAL <br /> <br /> I ~ MANUFACTURED STORAGE ~ SITE EVALUATION/SEPTIC/~ I ~ DRIVEWAY <br /> ~ ~ PRE-FAB SEPTIC ~ ~ INFORMATION <br /> <br />NAME OF APPLICANT: <br /> <br />PH# <br /> <br />I am performing the work on prope~ I own or occupy. <br /> <br />I am a registered builder or the authorized representative of a registered builder. <br />State of Oregon Construction Contractor's Board Registration <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 /> <br />issued and ready to be picked up. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />FOR OFFICE USE ONLY: <br /> <br />SUBDIVISION: <br />REV 8~3~95 <br /> <br />LOT# <br /> <br />TAX ACCT! <br />BLOCKI <br /> <br /> <br />