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~ , ~ ACTIVITY # <br /> <br />PI. EASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL Bi: DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> ~ ~ BUILDING ~ ~ AG EXEMPT BUILDING ~ ~ ELECTRICAL <br /> ~ ~ BUILDING DEMOLITION ~ I MINOR EL LABEL <br /> r ~ DWELLING LABEL ~ SITE PLAN REVIEW L,._,,J PLUMBING <br /> i r MANUFACTURED DWELLING ~ ~ SITE EVALUATION L__J MECHANICAL <br /> ~ ~ MANUFACTURED STORAGE ~ SITE EVALUATION/SEPTIC t i DRIVEWAY <br /> ~ ~ PRE-FAB ~ SEPTIC <br /> <br />NAME OF APPLICANT: <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: /~ <br /> <br />I am performing the work on property I own or occupy· <br /> <br />I am a registered builder or the authorized representative of a reg!stered builder. <br />State of Oregon Construction Contractor's Board Registration # ('~(¢-/.7~, . <br /> <br />I am the authorized representative of the property owner or contractor. <br /> <br />I will be hiring 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 <br />issued and ready to be picked up. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />FOR OFFICE USE ONLY: <br /> <br />MAP PAGE:~,,, ZONE: I~}~.~ <br />REV 3/6/95 <br /> <br /> MAR I 0 <br /> <br /> MARION COUNTY <br />,-,u,~.u.~ ,~br:uIlON <br /> <br /> <br />