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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 /> TYPE OF APPLICATION <br />~ BUILDING [] AG EXEMPT BUILDING [] ELECTRICAL ~ <br />[] DWELUNG [] BUILDING DEMOLITION [] MINOR EL LABEL <br />[] DWELLING LABEL [] SITE PLAN REVIEW [] PLUMBING <br />[] MANUFACTURED DWELLING [] SITE EVALUATION [] MECHANICAL <br />[] MANUFACTURED STORAGE [] BITE EVALUATION/SEPTIC [] DRIVEWAY <br />[] PRE-FAB [] SEPTIC [] INFORMATION <br /> <br />NAME OF APPLICANT: <br /> <br />WORK DESCRIPTION; <br /> <br />( <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 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 meL 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 correct. 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 permlL <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />SUBDMSION: <br /> <br />REV 6/1~/96 <br /> <br />SLIDE~ HISTORIC WETLANDS LAND USE CASE <br /> TA~ ACCT# <br /> <br /> <br />