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ACTIVITY # <br /> <br />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 />TyPE O.F APPLICATION <br /> .,~"'.X BUILOINO AG EXEMPT BUILDINO <br /> ELECTRICAL <br /> <br /> [] OW;LUNG [] BUILOING 0EMOLmON [] MINOR EL LABEL <br /> ~] DWELLING LABEL {~ sr/~ PLAN REVtE~N C~ PLUMBI~O <br /> [] MANUFACTURED OWELL~G ~ SITE EVALUATION ~ MECHANICAL <br /> [] MANUFACTURED STORAGE [] $/TE EVALUATION/SEPTIC [] DRIVEWAY <br /> [] e,E.F^B E] s TIc [] ,,FOR, ON <br /> <br />NAME OF APPLICANT: <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 Coniracto~s Board RegislraUon # <br />FAX~ <br /> <br />am the authorized repmsen~atNe of the prope~'y owner or cont~ctor. <br /> <br />will be hidng a conVaclor registered with bhe Construction Contractors Board. <br /> general <br /> <br />This applicaUon may go through a simultaneous review process where zoning, septic (if applicable) and <br />consb'ucUon requirements are checked pdor to issuance of a 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 noticed that your per'mit 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 con'ecL I agree to <br />comply with all state laws and county ordinances relating to building construction. I will authorize <br />a r~epresentatJve of Building Inspection to enter on the property for the purpose of making <br />inspections for this permit. ~ ,~. ~,/ <br /> <br />FOR OFFICE USE L Y: GEOi~STRICT: FLOOD PLAIN SLIDE HISTOPJ WETLANDS I..A~D USE CASE_ <br /> <br /> <br />