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ACTIVITY <br /> / <br />PLEASE FiLL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />aPPuc^t on SUBmittaL GS- ! <br /> <br />TYPE OF APpLIC.,~TION <br />~ I BUILDING <br />~ ~ DWELLING <br /> <br /> DWELLING LA <br />~ MA NUFA CTU R E[~..DWELidNG ./' <br /> <br /> ~ MANUFACTURED STORAGE <br /> <br /> ~ PRE-FAB <br /> <br />NAME OF APPLICANT: <br /> <br />I ~ BUILDING DEMOLITION I I MINOR EL LABEL <br />~ ~ SITE PLAN REVIEW [, I PLUMBING ~L~L <br />t,, ~ SITE EVALUATION ~ MECHANICAL <br /> <br />PROJECT ADDRESS: <br /> <br />WOR.K DESCRIPTION: <br /> <br />I am performing the work on prope~y I own or occupy. <br /> <br /> I am a registered builder or the authorized representatNe of a re§istered builder, <br /> State of Oreson Construct on Contractor's Board Resistrat'on # <br /> <br />( I am the authorized representative of the prope~y owner or contra~or. <br />~~~:~-( ,will be hiring a ~enera, contractor re.i.tered with the Constrdction Contractors <br /> <br /> construction requirements are checked prior to issuance of a permit. <br /> to assure that all necessa~ 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 /> ~OR OFFi~ ~E O~LY: <br /> <br />REV 51'16195 <br /> <br /> <br />