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^CTI¥~T¥ # <br /> <br />PLEASE FiLL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABL£ BUILDING CODE TECHNICIAN. <br /> <br /> APPLICATION SUBMITTAL <br /> <br />BUILDING ~ ~ AG EXEMPT BUILDING ELEC'rRR,-AL <br />DWELLtNG ~ BUILDING DEMOLITION r ~ MINOR EL LABEL <br /> <br />MANUFACTURED DWELLING ~ SITE EVALUATION ~ ~ MECHANICAL <br />MANUFACTURED STORAGE I, I SITE EVALUATION/SEPTIC r ~ DRIVEWAY <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 />I am a registered builder or the authorized representative 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 />1 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, R is the responsibility of the applicator <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 ta be picked up, <br />S IG NATU R E O F AP P LICA NT: 4~x..~-,~-"~'/' ..., .... <br /> <br />REV 8151~5 <br /> <br /> <br />