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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 />TYpE OF APPLICATION <br /> <br /> ~ ~ BUILDING <br /> ~ ~ DWELLING <br /> I ~ DWELUNG LABEL <br /> ~ ~ MANUFACTURED DWELLING <br /> ~ ~ MANUFACTURED STORAGE <br /> ~ ~ PRE-FAB <br /> <br />AG EXEMPT BUILDING <br />BUILDIN,G, DEMOUTION <br />SITE PLAN REVIEW <br /> <br />SITE EVALUATION <br /> <br />SITE EVALUATION/SEPTIC <br /> <br />SEPTIC <br /> <br />ELECTRICAL <br />MINOR EL LABEL <br />PLUMBING <br />MECHANICAL <br />DRIVEWAY <br />INFORMATION <br /> <br />NAME OF APPLICANT: <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: ~eg'l.~..V~'~*v'q ~:;~ -O~-~e~ <br /> <br /> peno ming the wo~ 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 # OO~-~ [ ~ ~. <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 ali necessary information has been provided. <br /> <br />As soon as ail 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 OF APPUCANT: ~ ~/~-~ <br /> <br />REV &r5/95 <br /> <br /> <br />