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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 [,,,r ELECTRICAL <br /> [,,, ,~DWELLING ~ BUILDING DEMOLITION [ ~ MINOR EL LABEL <br /> <br /> ~ ) DWELLING LABEL ~ [ BITE PLAN REVIEW I ~ PLUMBING <br /> <br /> { ~ MANUFACTURED DWELLING ~ SITE EVALUATION MECHANICAL <br /> ~ -.J MANUFACTURED STORAGE ~ SITE EVALUATION/SEPTIC ~ DRIVEWAY <br /> ~ ~ PRE-FAB L,, I 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 />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 responsibility 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 />SIGNATURE OF APPLICANT: <br /> <br />FOR OLrR[;E <br /> <br />MAP PAGr~ 20l~- <br /> <br />TJU( ACCT <br /> <br />SUBDiVISIOI: <br /> <br />LOT! BLOCK/ <br /> <br /> <br />