Laserfiche WebLink
ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />[] BUILDING [] AG EXEMPT BUILDING [] <br />[] DWELLING [] BUILDING DEMOLITION [] <br />[] DWELLING LABEL [] SITE pLAN REVIEW [] <br />~ MANUFACTURED DWELLING [] SITE EVALUATION [] <br />[] MANUFACTURED STORAGE [] SITE EVALUATION/SEPTIC [] <br />[] P~.-E.,,.. [] sEPTIc [] <br /> <br /> ~IE NEXT <br />ELECTRICAL <br /> <br />MINOR El. LABEL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />DRIVEWAY <br /> <br />INFORMATION <br /> <br />NAME OF APPLICANT: ~j~/~/(.~,, ~. /'~/&&,E~ <br />PROJECT ADDRESS: 79~ ~,;~O/ ~ <br />WORK DESCRIPTION: ~~ ~ ~~ <br />(~m peffo~ing ~e wo~ on pro~ I own or ~u~. <br /> <br />I am a registered builder Or the authorized representative of a registered builder. <br />State of Oregon ConStruction ContractoCs Board Registration # <br />FAX~ <br /> <br />am the authorized representative of the propeK7 owner or contractor. <br /> <br />will be hldng 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 e permit, it is ~e responsibility of the appJlcant <br />to assure that all necessary information has been provided. <br /> <br />As soon es 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 Inspection3 to enter on the property for the purpose of making <br />inspections for this permit. ~/' <br /> <br />FOR OFFICE USE O~IL Y: GEODISTRICT: FLOOD PL.A~N SUOE HISTORIC WETLANDS LAND USE CASE <br /> <br /> <br />