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PLEASE FiLL OUT THE FOLLOWING iNFORMATION AND YOU WILL BI: DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATIDN <br /> <br /> . BUILDING ~ AG EXEMPT BUILDING ~.,--,~ ELECTRICAL <br /> <br /> ~ J DWELLING ~ BUILDING DEMOLITION ~ ~ MINOR EL LABEL <br /> <br /> ~ t DWELLING LA~:EL ~ I RITE PLAN REVIEW ~ ~ PLUMBING <br /> ] ~ MANUFACTURED DWELLING ~ ~ SITE EVALUATIDN ~ ~ MECHANICAL <br /> <br /> ~ MANUFACTURED STORAGE ~ r SITE EVALUATION/SEPTIC ~ ~ DRIVEWAY <br /> <br />NAME OF APPLICANT: <br />PROJECT ADDRE,SS <br /> <br />I am performing the work on property I own or occupy. <br /> <br />I am a re$istered builder or the authorized representative of a registered builder. <br />State of Oregon Construction Contractor's Board Registration # - <br />FAX# <br /> <br /> AUG2 i99§ <br /> <br /> MARION COUNTY <br />3U)LD)NG INSPECTION <br /> <br />I am the authorized representative of the property owner or contractor. <br /> <br />I will be hirin$ 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 /> <br />SIGNATURE OF APPLICANT: ,, ~ ~/ ~ <br />FOR OFFIC~ US~ ONLY; i~ <br /> <br />REV 8/3~g; <br /> <br /> <br />