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ACTIVITY # <br /> <br />PLEASE FILL OUT THF 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 /> BUILDING L...J AG E~EMPT BUILDING ~ ELECTRICAL <br /> <br /> ~ DWELLING i ~ BUILDING DEMOLITION ~ MINOR EL LABEL <br /> ~ · DWELLING LAEEL ~ SITE PLAN REVIEW ~ PLUMBING <br /> I I MANUFACTURED DWELLING ~ SITE EVALUATION ~ MECHANICAL <br /> ~ MANUFACTURED STORAGE ~ ~ SITE EVALUATION/SEPTiC ~ DRIVEWAY <br /> · ~ PRE-FAB ~ ~ SEPTIC ~ INFORMATION <br /> <br />PH# <br /> <br />PR..OJECT Al)DRESS: <br /> <br />.WOR K DESCRIPTION: ,. <br />~q, I am performing the work on property I own or occupy, <br /> <br />I am a registered builder or the authorized represent,ztive of a registered builder. <br />State of Oregon Construction Contractor's Board Registration # <br />FAX# <br /> <br />I am the authorized representative 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 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 />SIGNATURE OF APPLICANT: <br /> <br />FOR OFIqL'E U~E ONLY: <br /> <br />LOT~ <br /> <br /> <br />