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PLEASE FII.L OUT THi: FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NIE×T <br />AVAILABLE BUILDING CODE TECHNICIAN, <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br />~ BUILDING ~ . ~ AG EXEMPT BUILDING i r ELECTRICAL <br /> <br /> ~,~'~ DWELLING r I BUILDING OEMOLITION r MINOR I~L LAB£L <br /> <br /> L ] DWELLING LABEL ~ ~ RITE PLAN REVIEW I I PLUMBING <br /> <br /> ~ ~ MANUFACTURED DWELLING ~... , ~ BITE EVALUATION [ ~ MECHANICAL <br /> <br /> I ~ MANUFACTURED BTOP, AGE · - SITE EVALUATION/SEPTIC ~ DRIVBWAY <br /> <br /> ~ PRE-FAB SEPTIC <br /> <br />NAME OF APPLICANT; ~_'~'~ <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />) <br /> <br />( ) <br /> <br />[ am pedorming the work an property I awn or occupy, <br /> <br />I am a registered builder or the authorized representative of a re$ist~red builder. <br />State of Oregon Construction Contractor's goard Registration # <br /> <br />I am the authorized representative of the property owner or contractor. <br /> <br />I will be hiring a'~or 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 aH 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 omC~' USE ONLY: <br /> <br />REV316/g5 <br /> <br /> <br />