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ACTI¥1T¥ ff <br /> <br />PLi:ASE FILL OUT THF FOLLOWING INFORMATION AND YOU WILL BE DIRECI'ED I-O THE NEXT <br />AVAII_AgLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> ~ BUILDING ~ ~ AG EXEMPT BUILDING J 1 ELECTRICAL <br /> <br /> ~ ~ DWELLING ~ ~ BUILDING DEMOLITION L-.-J MINOR EL LABEL <br /> ~ I DWELLING LABEL I ~ SITE PLAN REVIEW ~ PLUMBING <br /> ~ t MANUFACTURED DWELLING ~ ~ SITE EVALUATION /~,,,"~r~ MECHANICAL <br /> <br /> ~--..~ MANUFACTURED STORAGE ~ I SITE EVALUATION/B~PTIC ~ DRIVEWAY <br /> <br /> ~ --. ~PRE-FAB ~ SEPTIC <br /> <br />NAME OF APPLICANT: PH# <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 /> <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 8o 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 ha~ been provided, <br /> <br />A~ ~oon 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 u~?-.) ,/ <br /> <br />FOR OIFFIC~ U~;E ONLY: <br /> <br />MAP PAGE: :ZONE: CRO~$ ~I~E~c'T: TAX ACCT4~: <br /> <br /> <br />