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PLEASE FILL OUT TH~: FOLLOWING INFORMATION AND YOU WILL BE DIRECTED ¥O THE NEXT <br />AVAILABLE BUILDING CODE T£CHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TyPE OF APPLICATION <br />{~ BUILDING <br />~] DWELLING <br />{~ DWELLING LABEL <br />{~ MANUFACTURED D~ING <br />~ MANUFAC~REO STO~G~ <br />~ PRE~AB <br /> <br />· [~AAG EXEMPT BUILDING E] ELECTRICAL <br /> <br />E~ BUILDING DEMOLITION [] MINOR EL LABEL <br />[] SITE PLAN REVIEW [] PLUMBING <br />E] SITE EVALUATION ~ MECHANICAL <br />[] SITE EVALUATION/SEPTIC [] DRIVEWAY <br />[] SEPTIC [] INFORMATION <br /> <br />NAME OF APPLICANT: <br /> <br />E · <br />WORK DESCRIPTION: <br /> <br />I am pedorming the work on property I own or occupy. <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 oi the property owner or contractor. <br /> <br />(~-~' I will be hidng a general contractor registered with the Conslruction Contractors Board. <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 of a penTiiL It is ~he responsibility o1' the applicant <br />to assure that all necessary inl'ormafion 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 /> <br /> <br />