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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL 13E DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. ~, ,~:~_~ ,/~) ~-~-~ ~ <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br />[ ~ BUILDING ~ ~ AG EXEMPT BUILDING [ I ELECTRICAL <br />I · DWELLING ! J BUILDING DEMOLITION ~ MINOR EL LABEL <br /> <br /> I I DWELLING LABEL ~ ~ SITE PLAN REVIEW I r PLUMBING <br /> <br /> MANUFACTURED DWELLING ~{ ~ TE ~;VALUATIO. MECHANICAL <br /> <br /> [--..-1 MANUFACTURED STORAGE ~ ~ SITE EVALUATION/SEPTIC {, I DRIVEWAY <br /> <br /> [,-,, ~ PRE-~A~ SEPTIO ~,,~:--- <br /> <br />NAME OF APPLICANT: <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 />( ) I am the authorized representative of the property owner. <br /> <br />This application may go through a simultaneou~ 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 mete you will be notified that your permit has been <br /> <br />SIGNATURE OF APPLICANT; <br />REV 2/1/95 <br /> <br /> <br />