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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 />~ [] AG EXEMPT BUILDING [] ELECTRICAL <br />[] DWELLING [] BUILDING DEMOLITION [] MINOR EL LABEL <br />[] DWELLING LABEL [] BITE PLAN REVIEW [] PLUMBING <br />~ MANUFACTURED DWELLING SITE EVALUATION MECHANICAL <br /> [] MANUFACTURED STORAGE [] SITE EVALUATiON/SEPTIC [] DRIVEWAY <br /> PRE-FAB ~J~ SEPTIC [] INFORMATION <br /> <br />NAME OF APPLICANT: <br />WORK DESCRIPTION: <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 pmperbj 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, sep~c (if applicable) and <br />construction requirements are checked pdor to issuance ora 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 />I certify that I have read this application and state that the Information given is correcL I agree to <br />comply with all state laws and county ordinances relating to building construction. I will authorize <br />a representative of Building Inspection to enter on the property for the purpose of making <br />inspections for this permit. <br /> <br />S. .ATUR OFA.'"'IO,,.T: / <br /> <br />FOR OFFICE USEIONL Y; GEODIBTR~CT; FLOOD pLAIN~ 3~OE . HISTORIC , <br /> <br />SUBOPA$1ON: LOTII <br /> <br />LAND USE CASE <br /> <br /> <br />