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· ~PR ~?'95 pm 4:17 <br /> ACTIVITY <br /> <br />PI_EASE FILL OUT THE FOLLOWING INFOP, MATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN· <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APp,LICATION <br /> <br /> BUILDING i i AG EXEMPT BUILDING [ i ELECTRICAL <br /> <br /> [ i DWELLING i ~ BUILDING DEMOLITION ~ i MINOR EL LABEL <br /> ~ ~ DWELLING LABEL [ I BITE PLAN REVIEW ~ I PLUMBING <br /> [ I MANUFACTURED DWELLING ( I BITE EVALUATION ~ t MECHANICAL <br /> ~ ~ MANUFACTURED BTORAGE i I BITE EVALUATION/SEPTIC ~ ~ DRIVEWAY <br /> I I PRE-FAB L ~ 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 register, ed 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 />I wiiI 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 in{ormation 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 />SIGNATURE OF APPLICANT: <br /> <br /> <br />