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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 />OF AP <br />~ BUILDING ; I AG EXEMPT BUILDING ; I ELECITUCAL <br />~1 DWELLINQ ; ! BUILDIN,Q DEMOLITION ~ ! .MINOR EL [.ABEL <br />t-.-J DWELUNG LABEL ~ SITE ~ REVIEW I ~ PLUMBING <br /> <br />t--J MANUFACTURED DWELLING I ~ SITE EVALUATION ~ ; MECHANICAL <br />~ MANUFACTURED STORAGE ; ~ SITE EVALUATION/SIt'tIC ~ f DRIVEWAY <br />~ PRE-FAB ~ I SEPTIC t t INFORMATION <br /> <br />pH# _~-,-).._ .? -)~ z~ <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 />will be hidng 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~I~~~J~ <br /> <br />REV ~r~$ <br /> <br /> <br />