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ACTIVITY <br /> <br />Pt, EASE FILL OUT THE [:OLLOWING INFORMATION AND YOU WILL BE DIRI~C'(ED '10 THE NI~×T <br />AVAIl. ABLE BUILDING CODE TECHNICIAN, <br /> <br /> APPLICATION SUBMITTAL c .~,~ ~U6 1 I 1~9~ ' <br /> <br />TYPE OF APPLICATION <br /> <br />MARION COUNTY <br />BUILDING iNSPECTION <br /> ELECTRICAL <br /> <br />MINOR EL LABEL <br /> <br />"~LUMGING <br /> <br />MECHANICAL <br /> <br />DRIVEWAY <br /> <br />NAME OF APPLICANT: <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 /> <br />I am the authorized representative of the property owner or contractor, <br /> <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 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 />issued and ready to be picked up. <br /> <br />SIGNATURE OF APPLICANT: ~---'~--=. :- ~'~J.-ff--~_ <br /> <br />FOR OFRC~. USE ONLY: <br /> <br />MAP PAGE: ZONE CROSs STRICT: <br /> <br />TAX ACCT,~: <br /> <br />REV 3/6/e5 <br /> <br /> <br />