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PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BI: DIRECTED TO THE NEXT <br />AVAILABLI: BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> BUILDING i ~ AG EXEMPT BUILDING r ELECTRICAL <br /> <br /> DWELLING 01 ~ ~ BUILDING DEMOLITION ~ ~ MINOR EL LAeEL <br /> <br /> ~ DWELL1NG LABEL ~ SITE PLAN REVIEW ~, ~ PLUMBING <br /> [ .~ MANUFACTURED DWELLING ~ SITE EVALUATION ~J- [ MECHANICAL <br /> [.~ MANUFACTURED STORAGE r r SITE EVALUATION/SEPTIC ~ ~ DRIVEWAY <br /> <br />PROJECT ADDRESS: _)1 <br /> <br />% PH/I <br /> <br />_WO.RK DE, CRI.P, TION; <br /> <br />( ) <br /> <br />I am a registered builder or the authoriz.,ed representative of a registered builder. <br />State of Oregon Construction Contractor s Board Registration # "50'[,, j . <br /> <br />( ) I am the authorized representative of the proper~y owner or contractor. <br /> <br />( ) I will be hiring a general contractor resistered with the Construction Contractors Board. <br /> <br />This application may go through a simultaneous review process where zonin~ ~ 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 />~EV 3j619~ <br /> <br /> <br />