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sUg <br />PLEASE FELL OUT YHE FOLLOWING INFORMA¥1ON AND YOU WILl, BE DIRECTED TO THE NEXT <br /> <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> ~ i BUILDING <br /> <br /> t ~ DWELLING LABEL <br /> UFACTURED DWELLING <br /> ~ MANUFACTURED STORAOE <br /> <br /> ~ I PRE-FAB <br /> <br />~ AG EXEMPT BUILDING <br />I.__J BUILDING DEMOLITION <br />~ BITE pLAN REVtSW <br />~ BITE EVALUATION <br />~ SITE EVALUATION/SEPTIC <br />i..._.J $1EPTIC <br /> <br />BLECTRtCAL <br /> <br />PLUMBING <br />MECHANICAL <br />DRIVEWAY <br /> <br />NAME OF APPL CANT: <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />~lam performing 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 /> <br />I am the authorized representative of the property owner or contractor. <br /> <br />will be hiring a general contract6r registered with the Construclion 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 requJremenLs 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 ~ <br />i~OIR OFRC~; LI:S~. ONLY: <br /> <br />MAP PAGE: ZONE: CROSS STREW'T: TA~ ACCT.: <br /> <br /> <br />