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ACTIVITY # <br /> <br />PL£ASE FILL OUT THE FOLLOWING ~NEOP, MATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> ~ MANUFACTURED STORAGE <br /> ~ ~ PRE-FAB <br /> <br />AG EXEMPT BUILDING ~ ELECTRICAL <br /> <br />BUILDING DEMOLITION i I MINOR EL LABEL <br />SITE PLAN REVIEW ~ ~ PLUMBING <br />SITE EVALUATION ~ ~ MECHANICAL <br /> <br />giT/= EVALUATION/SEPTIC ~ DRIVEWAY <br />SEPTIC I I INFORMATION <br /> <br />NAME OF APPLICANT: <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: /,~,,~, <br /> <br /> Iam 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 # ~/~:,_~,P~ i~ <br /> <br />I am the authorized representative of the property owner or contractor, <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 i~,suance 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 ail requirements of the review have been met, you wi[[ be notified that your permit has been <br />issued and ready to be picked up. <br /> <br />SIGNATURE OF APPLICANT: ~ <br /> <br />BLOCI~ <br /> <br /> <br />