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PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NE~ <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br /> APPLICATION SUBMITTAL ¢ -- <br /> <br /> TYPE OF APPLICATION <br /> <br /> L · AG EXEMPT BUILDING ~ ELECTRICAL <br /> L..-. I~UILDINO DEMOLITION ~ MINOR EL LABEL <br /> <br /> ~ L,, , DWELUNG C~REL SITEPLAN REVIEW PLUMBING <br />~ ~ MANUFACTURED DWELLING ~ SITE EVALUATION ~ ~ MECHANICAL <br /> <br /> I I MANUFACTURED ST0~GE ~ SITE EVALUATION/SEPTIC ; ~ DRIVEWAY <br /> f~ PRE-FAB ~ ~EPTIC <br /> <br />NAME OF, APPLICANT: <br /> <br />PROJECT ADDRESS: <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 />I will be hiring a general contraCtor registered with.the Construction'C0ntractors 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 responsib'ilib/of' the applicant <br />to assure that ail 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 t~FFICE USE ONLY: <br /> <br />SUB~WSIOe: LOT# BLOCE, f <br /> <br />REV Sll ~;195 <br /> <br /> <br />