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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YoU WILL BE DIRECTED TO THF NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPa OF APPLICATIO~ <br /> <br /> L.~-J BUILDING i -~ AG EXEMPT BUILDING ~ ELECTRICAL <br /> <br /> ( ~ DWELLING L, I BUILDING DEMOLITION I i MINOR EL LABEL <br /> L~--J DWELLING LABEL ~ ~ SITE PLAN REVIEW I I PLUMBING <br /> ~ -J MANUFACTURED DWELLING ~ ~ SITE EVALUATION I I MECHANICAL <br /> ~ MANUFACTURED STOEAGE ~ SITE EVALUATION/SEPTIC ~ i DRIVEWAY <br /> I i PRE-FAa SEPTIC <br /> <br />( ) <br /> <br />I am performing the work on property I own or occupy. <br /> <br />I am a registered bui(der or the authorized representative of a registered builder. <br />State of Oregon Construction Contractor's Board Registration # <br /> <br /> ( ) I am the authorized representative of the property owner or contractor. <br /> <br /> I <br /> 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 necessar~ 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 />SIGNATURE OF APPL. ICANT~~ <br /> <br />FOR OF~C~ USE ONLY: <br /> <br />MAp PAGE:__ ZONE: ~ C~OSS S'II~EET: TAX ACCT#: <br /> <br />REV 316194 <br /> <br /> <br />