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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 /> t.._J BUILDING ~ ~ AG EXEMPT BUILDING ELEC~L <br /> ~ DWELUNG t I BUILDIN.Q DEMOLITION I ; MINOR EL LABEL <br /> <br /> ~ ~ DW~_L__~Q LABEL ~ ~ SITE PLAN REVIEW . PLUMBINQ <br /> <br /> ~ ~ MANUFAC11JRED STORAGE ~ ~ SITE EVALUATION/SEPTIC ~ ~ DRIVEWAY <br /> ; ~ PRE-FAB ; ~ SEPTIC ~ ~ INFORMATION <br /> <br />NAME OF APPLICANT: <br /> <br />PROJECT ADDRESS; <br /> <br />WORK DESCRIPTION: /'7~ ~:)~1~ ~~ <br /> <br /> lam performing the work on property, own or OCcupy. <br /> <br /> I am a registered builder or the authorized representative of a registered builder. <br /> State of Oregon Constructign Contractor's Board Registration # ~. <br /> <br />, , lam the authorized representative o; the propen'y owner or contractor. <br />,, ,w,, be h,,,ngagene , contractor regste thecon,truct,on con,ra o goad <br /> <br />This application may go through a simullaneous review process where zoning, septic (if applicable) and <br />construction requirements are checked prior lo issuance of a permiL It is the responsibility of the applicant <br />to assure th~t 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 />SIGNATURE OF APPLICANT: <br /> <br />REV 8/3/95 <br /> <br />LOT# <br /> <br /> <br />