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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WiLL BE DIRECTED TO THE NEXT <br />AVAILABLI: BUILDING CODI:: TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TyPE OF APPLIgATION <br /> <br /> ~,~ BUILDING ~ AG EXEMPT SUILDING : -~ ELECTRICAL <br /> i ~ DWELLING L ~ BUILDING DEMOLITION t ~ MINOR EL LABEL <br /> I ! DWELLING LABEL L ~ SITE PLAN REVIEW I .~ PLUMBING <br /> ~-,,J MANUFACTURED DWELLING ~ SITE EVALUATION ~ ~ MECHANICAL <br /> <br /> ~ ~ MANUFACTURED STORAGE L ~ SITE EVALUATION/SEPTIC ~ DRIVEWAY <br /> ~ t PRE-FA~ L ~ SEPTIC ~ INFORMATION <br /> <br />WORK DESCRIPTION: <br /> <br /> performing the work on property I own or occupy. ~L,)/~/'""'~- ' <br />Jam <br /> <br />I am a registered builder 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. --c-4--¢7...~ <br /> <br />I wiJ] be hiring a generaJ 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 respoesibihty of the app{{cant <br />to assure that all necessap/ 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 />FOR OFFICE ~ Oi~Y: ,J (lq <br /> <br />REV 8/3/9~ <br /> <br /> <br />