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^CT,V,T¥, ? 5--12 <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 OF APPLICATION <br /> <br /> ~ , ~ BUILDING [.., ~ AG EXEMPT BUILDING I ~ ELECTRICAL <br /> [ ~ DWELLING ~, ~ BUILDING DEMOLITION ~ ~ MINOR EL LABEL <br /> I I DWELLING LABEL ~ ~ SITE PLAN REVIEW ~ PLUMBING <br /> ~ I MANUFACTURED DWELLING ~ · SITE EVALUATION MECHANICAL <br /> ~ i MANUFACTURED STORAGE ~ SITE EVALUATION/SEPTIC L ~ DRIVEWAY' <br /> <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 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 />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 responsibiJity 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 />FOR omcE IISE OILY: <br /> <br />MAP pAr, E: <br /> <br />SUBOIVI$1OIf: <br /> <br />REV 5116195 <br /> <br />ZOIE: ORO:SS ~'ITIEEI'_- TAX ACL~ ~. <br /> <br />lin'# BLOClI~ <br /> <br /> <br />