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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 /> ~ At3 EXEMPT BUILDING ~ : ELECTRICAL <br />DWELUNG t._.d BUIUNN.0 DEMOUTION ; I MINOR EL LABEL <br />DWELUNG LABEL t__J SITE PLAN REV1EW ! I PLUMBING <br />MANUFACTURED DWELLING L.._.J SITE EVALUATION t I MECHANICAL <br />MANUFACTURED STORAGE L--J SITE EVALUATION/SEPTIC I I DRIVEWAY <br />PRE.FAB ~ SEFTIC [ ; INFORMATION <br /> <br />A E OF APPUC NT: <br /> <br />PR ECT ADD SS: <br /> <br />WORK DES~ <br /> <br />//,F <br /> <br />( ~ I am performing the work on property I own or occupy. <br /> <br />( ) <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 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 />REVmS <br /> <br /> <br />