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PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT~ <br />AVAILABLE BUILt)lNG CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> BUIL£)ING ~-J AG eXEMPT BIJILDING ~ E~ECTRlCA[ <br /> <br /> ~ EUILDIN~ DEMOLITION ~ MINOR EL LABEL <br /> ~ DWELLING LABEL r ] SITE PLAN REVIEW t f PLUMBING <br /> <br /> ~ ~ MANUFACTURED DWELLING L ~ SITE EVALUATION ~ MECHANICAL <br /> ~ ,,-I MANUFACTURE~ STORAGE ~ SITE EVALU~TION/~EPTIC ~ ] DRIVEWAY <br /> ~ ( PRE-FAB SEPTIC <br /> <br />( )' lampeff°rmJn§thew°rk°n'~°perWl°wn°r°ccupy' J/'k'.~ iqI <br /> <br />J 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 /> <br />issued and ready to be picked up. <br /> <br />REV 5116195 <br /> <br /> <br />