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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 /> [] ^o EXEter SU,LDINO [] ELECTmC _ <br /> ~ [] BUILDING DEMOLITION [] MINOR EL LABEL <br /> [] DW~LING LABEL [] SITE PLAN REVIEW [] PLUMBING <br /> [] MANUFACTURED DWELLING [] SITE EVALUATION [] MECHANICAl. <br /> [] A.UF^CTURED STO.* E D sn EVR UATION/S [] DRr Ew^v <br /> [] PRE-FAB [] SEPTIC [] INFORMATION <br /> <br />NAME OF APPLICANT; <br /> <br />WORK DESCRIPTION; <br /> <br />I am performing lhe work on property ' own or occupy. <br /> <br />I am a regislered builder Dr lhe au~orized representative ota registered builder. <br />Slate Df Oregon Construction Contractor's Board RegislratiDn # <br /> <br />( ) I am the authorized representative ~f the prope, rty owner or contractor. <br />~ I will be hiring a gene.ral contractor regis~red with the Construction Conli~,etlols B~~ <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, tt is ~he responsibility of/the applicant <br />to assure that all necessaly information has been provided. · <br />As v--~---~ <br />· soon as all requirements of the mv~ew have been met, you wil be notified that your permit has been <br />~ssued and ready to be picked up. <br /> <br />I certify that I have read this application and state that the Information given Is correct. I agree to <br />comply with all state laws and county ordinances relating to buitding construction. I will authorize <br />a representative of Building Inspection to enter on the property for the purpose of making <br />inspections for this permlL <br />SIGNATURE OF APPLICANT: ~/-~ ~ <br /> <br /> LAND USE CASE <br /> <br />ACCT~ <br /> <br /> BLOCKfJ <br /> <br /> <br />