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PLEASF FILL OUT THE FOLLOWING iNFORMATION AND YOU WiLL BE DIRECTED TO THE. NEXT <br /> <br /> APPLICATION SUBMITTAL ~'~Y ! 5 l~Y5 <br /> ~ARION COUNTy <br />Ty%I~ APPLICATION ~ ~8ffiLOi~G INSPECTION <br /> ~GUILDING ~ ~ AG EXEMPT BUILDING ~ ELECTRICAL <br /> <br /> L J DWELMNG I., I ~UILDING DEMOLITION [,, I MINOR EL LABEL <br /> ~ J DWELLING ~BEL ~ .J SITE PLAN R~IEW I ~ PLUMBING <br /> <br /> [ ~ MANUFACTURED DWELMNG ~ SITE EVALUATION ~ MECHANICA~ <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />--.-Lam performing; the work on property [ own or occupy. <br /> <br /> I am a registered builder or the authorized representS, tire of a registered builder. <br /> State of Oregon Construction Contractor's Board Registration # <br /> <br />) I am the authorized representative of the properly owner or contractor, <br /> <br />) I 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 wiJ[ be notified that your permit has been <br />issued and ready to be picked up. ~ <br /> <br />T~X ACCT#: <br /> <br />REV 3/6/95 <br /> <br /> <br />