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ACTIVIP/~ <br /> <br /> AND YOU WiLL 8E DIRECTED TO THE NEX~ <br />PLEASE <br /> FiLL <br /> OUT <br /> THE <br /> FOLLOWING <br /> INF. ORMATION <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />_~¢_PE OF APPLICATION <br />E~ SUILOJNG <br />[] DWELLING <br />~ DWELLING L~B EI- <br />~ ~ANUFAC~E0 OWELUNG <br />~ MANUFAC~REO ST0~GE <br />~ PRE-FA8 <br /> <br />~AME OF APPLICANT: <br /> <br />PROJECT ADDRESS; <br /> <br />WORK DESCRIPTION: <br /> <br />I am performing the work on property I own or occupy. <br /> <br />I am a registered builder o( the authorized representative of a registered builder. <br />State of Oregon Construction Contractor's Board Registration # <br />FAX# <br /> <br />l am the authorized represen[ative of the properly owner or contractor, <br /> <br />I will be hiring a general cont~ctor registered wiB t~e Construction Contractors Board. <br /> <br />This 8ppiicatJon m~y go through a simultaneous review process where zoning , septic (if appJioab[e) and <br />construc~Jon requirements are checked pdor to issuance of a permit it is ~e responsibility of the applicant <br />to assure that all necessary information has been provided. <br /> <br />As soon as all requirements of '¢,e 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 correct. I agree to <br />comply with all state laws and counb/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 />SIGNATURE OF APPLICANT: _ <br /> <br /> <br />