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PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILl, BE DIRECTED TO THE NEXT"',,, <br /> <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br /> APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> BUILDING ~ AG EXEMPT BUILDING ~ ~ ELECTRICAL <br /> <br /> J J t~UILDING DEMOLITION ~ I MINOR EL LABEL <br /> J ~ DWELLING LABEL b~ SITE PLAN REVIEW ~ PLUMBIN~ <br /> ~ MANUFACTURED DWELLING ~ ~ SITE EVALUATION ~ MECHANICAL <br /> ~ MANUFACTURED STORAGE I J SITE EVALUATION/SEPTiC ~ DRIVEWAY <br /> <br />PROJECT ADDRESS: <br /> <br />(;~6~'"'"'~'J am performing the work on ~:~/operty I Own or occupy. <br /> <br />( ) I am a registered builder or the authorized representative of a registered builder, <br /> State of Ore§on Construction Contractor's Board Registration # <br /> FAX# <br /> <br />( ) <br /> <br />( ) <br /> <br />I am the authorized representative of the property owner or contractor, <br /> <br />I wit[ 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 />~;LIBOIVTSlOII: <br /> <br />LOT~ BLO~ <br /> <br />REV Sl16195 <br /> <br /> <br />