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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 SUBMITTAL <br /> <br /> q -sqc l <br />^CTIVI~Y #q~. *" <br /> <br />TYPE OF APPLICATION <br /> <br /> ~ ~ BUILDING ~ ~ AG EXEMPT BUILDING ~ ~ ELECTRICAL <br /> DWELLING ~ BUILDING DEMOLITION ~ ~ MINOR EL LABEL <br /> ~ ~ DWELLING LABEL ~ SITE PLAN REVIEW ~ ~ PLUMBING <br /> <br /> ; ~ MANUFACTURED DWELLING ~ ; SITE EVALUATION ~ ~ MECHANICAL <br /> <br /> L-.-_J MANUFACTURED STORAGE ~ ~ SITE EVALUATION/SEPTIC ; ~ DRIVEWAY <br /> ~ PRE-FA8 ~ ~ SEPTIC ~ ~ INFORMATION <br /> <br />WORK DESCRIPTION: <br /> <br />( ) I am performing the work on property I own or occupy. <br /> <br />( ) <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 />O/x) 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 <br /> <br />REV 8/~/95 <br /> <br /> <br />