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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 ~ v/ -- <br /> <br /> TYPE OF APPLICATION <br /> <br /> BUILDING ~ ~ ~ AG EXEMPT BUILDING <br /> <br />L~. ~l~ ~ DWELLING LABEL ~ ~ITE PLAN REVIEW <br />~. ~ ~ MA,UFACTUR~ DWELLING ' ' SITE EVALUATION <br />~.-~ MANUFACTURED ~TORAGE ~ ~ RITE EVALUATION/SEPTIC <br /> ,..., <br /> ~ PRE-FAB ~ S~PTIC <br /> <br />NAME OF APPLICANT: <br />PROJECT ADDRESS: <br /> <br />ELECTRICAL <br />MINOR EL LABEL <br />PLUMBING <br />MECHANICAL <br />DRIVEWAY <br /> <br />I am a registered builder or the authorized representative of a registered builder. <br />State of Oregon Construction Contractorfs 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 />SUBINV[SIOB: <br /> <br />REV 511619§ <br /> <br />BL01;~ <br /> <br /> <br />