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PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br /> <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br />BUILDING ! - ! AG EXEMPT BUILDING <br />DWELLING I ! BUILDING DEMOLITION <br />DWELLING L~BEL ~ , ~ SITE PI.~N <br />MANUFACTURED DWELLING ~ ! SITE EVALUATION <br />MANUFACTIJRED STORAGE ! ~ SITE fiVALUATIONISEPTIC <br />PRE-FAB ~ ; SEPTIC <br /> <br />ELECTRICAL/'~ <br />MINOR EL i.~SEL <br />PLUMBING <br />MECHANICAL <br />DRIVEWAY <br />INFORMATION <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />( ) <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 of Oregon Construction Contractor's Board Registration # <br />FAX# <br /> <br />I am the authorized representative of the property owner or contractor. <br /> <br />( ) <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 />SUBOIVLSION: LOI'Jr-'--''-' BLOCK, f --"--'""'-' <br /> <br />REV 8/3/95 <br /> <br /> <br />