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^CI'IVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILA. BLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />~ [] AG EXEMPT BUILDINa [] <br />[] DWELLING [] BUILDING DEMOLITION [] <br /> <br /> ~'~ MANUFACTUR£D DWELLING % SITE EVALUATION <br /> [] <br /> [~ MANUFACTURED STORAGE [] BITE EVALUATION/SEPTIC [] <br /> [] ..E-E^. [] SEm~C [] <br /> <br /> ~'~'~P~' the~ork 'on property I <br />(~) I am performing own or occupy. <br /> <br />ELECTRICA~ <br /> <br />MINOR EL LABEL <br /> <br />DRIVEWAY <br /> <br />INFORMATION <br /> <br />7' <br /> <br />( <br /> I am a registered builder or the authorized representative of a registered builder. <br /> State of Oregon Construction Contractods Board Registration # .. <br /> <br />( ) I am the authorized representative of the property owner or contractor. <br />(~ , will be hiring a general contractor reg,stered with the Construction Contractore Board. ~) ~ ° \~,~', <br />Tcoh~SstaruPcP~oC~t~ u~:~tsthar~eU~eac~ie~Ultpr~onret°oUi~sr~ oP[ a°Ce4L~rt~'sZ~hn~ge;p:~Ps~ll~ :fP~iTa~;li~nndt <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 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 permit. /') /~ ..~ <br /> <br />SUBDMSION: LOT# BLOCK# <br /> <br /> <br />