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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 /> <br /> ~ BUiLJ~tNG ~ i AG EXEMPT BUILDING ELECTRICAL <br /> ~ · DWELLING L,, I BUILDING DEMOLITION t ~ MINOR EL LABEL <br /> ~ DWELLING LABEL ~ i SITE pLAN REVIEW ~ PLUMBING <br /> <br /> [ ~ MANUFACTURED DWELLING ~ SIT{= EVALUATION ~ ~ MECHANICAL <br /> [. ~ MANUFACTURED STORAGE [,., i SITE EVALUATION/SEPTIC [ i DRIVEWAY <br /> i j, ~ PRE-FAB ~ SEPTIC <br /> <br />NAME OF APPLICANT: <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />I am performing the work on property I own or occupy· <br /> <br />( am a registered builder or the authorized representative of a registered builder. <br />State of OregOn Construction Contcactods Board RegiStration # <br /> <br />I am the ~uthorized representative of the prOperLy owner or coetrBctor. <br /> <br />I will be hiring a general con~ractot registered with the Construction Contractors Board. <br /> <br />This application may go throu§h a simultaneous re~iew 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 requirement~ 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 OFRC~ USE ONLY: <br /> <br />PAGE: ZONE: CROSS $'ll~Ei': Tkl( ACCT#: <br /> <br /> <br />