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PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br /> APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br />I ~ EUILDING L_~ AG EXEMPT BUILDING ~ ELECTRICAL <br /> <br /> ~ DWELLING ~ r EUILDING DEMOLITION * ~ MINOR EL LABEL <br /> ~ I DWELLING LABEL I t SITE PLAN REVIEW L, ,I PLUMBING <br /> I ~ MANUFACTURED DWELLING I,.,, ~ SITE EVALUATION ~ ~ MECHANICAL <br /> ~ MANUFACTURED STORAGE ~ ~ SITE EVALUATION/SEPTIC ~ I DRIVEWAY <br /> { ~ PRE-FAB ~ SEPTIC <br /> <br />NAME OF APPLICANT: <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />( ) <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 # (~ J O ~. <br /> <br />I am the authorized representztive of the property owner or contractor. <br /> <br />I 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 requiremenLs are checked prior to issuance of a permit. It is the responsibility of the applicant <br />to assure that all necessary information ha~ 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 />FOR OFFI(~. U's:E ONLY: <br /> <br />MAP PAOE: ZONF~ C;~USS S~: TAX ACCT#: <br /> <br />REV 3/6/95 <br /> <br /> <br />