Laserfiche WebLink
ACTIVITY #__ <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED T~THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. c: <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF A~'~'LICATION <br /> [] BUILDING ~-1 AG EXEMPT BUILDING <br /> [] DWELLING [] BUILDING DEMOLITION <br /> [] DW~LING LABEL [] srrE p~AN REVIEW <br /> [] MANUFACTURED DWELLING [] SITE EVALUATION <br /> [] MANUFACTURED STORAGE ~ SITE EVALUATION/SEPTIC <br /> [] .nE-F^B [] SE .C <br /> <br /> r,,.3 <br />[] ELECTRICAL <br />[] MINOR El. LABEL <br /> PLUMBING <br />[] MECHANICAL <br /> DRIVEWAY <br /> <br />[] INFORMATION <br /> <br />NAME OF APPLICANT: <br /> <br />pROJECT ADDRESS: <br />WORK DESCRIPTION: <br /> <br /> I am performing the work on property I own or occupy. <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 /> ~a"~v~of'e r' o rot ntrato ~ <br /> ) I am the authorized repres tativ m p operty wne co c r. <br /> <br />( ) I will be hidng a general contractor registered with the Construction Contractors Boa~.\ <br /> <br />This application may go through a simultaneous review process where zoning, septic (if applicable) and <br />construction requirements are checked pdor to issuance ufa permiL It is ~he 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 pen'nit 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 correcL 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 />SIGNATURE OF APPLICANT: <br /> <br /> <br />