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PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED l'O THE NEXT <br />AVAILABLE BUILI)ING CODE TECHNICIAN, <br /> <br /> APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION, <br /> <br /> I ~ , BUILDING I t AG EXEMPT BUILDING I I ELECTRICAl. <br /> DWELLING I ~ BUILDING DEMOLITION I I MINOR EL LABEL <br /> <br /> I I DWELLING LABEL ~ J SITE pLAN REVIEW I t PLUMBING <br /> · i MANUFACTURED DWELLING i I SITE EVALUATION ~, I MECHANICAL <br /> <br /> ~ MANUFACTURED STORAGE ~ ~ BITE EVALUATION/SEPTIC ~ DRIYEWAY <br /> , , <br /> t ~ PRE-FAB SEPTIC <br /> <br />NAME OF APPLICANT: <br /> <br />PROJEC_T, 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 /> <br />( ) lam the authorized represeetative of the property owner ar <br />(~) I will be hirin8 a~o~ registered with the Constru~ion Cont~a~ors Board. <br /> <br />This application may ~o through a simukaneous review process where <br />construCion requiremen~ are checked priDE to issuance of a permR, <br />to assure that ali necess~w information has ~n 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 ~o be picked up. <br /> <br /> .... · ' <br />SIGNATURE OF APP ~?~Z <br /> <br />~R O~' USE ONLY: / <br /> <br />NIAP PAGE: ZONE: I;~O~ STREET: 'rAx AC'C~'~: <br /> <br />REV <br /> <br /> <br />