Laserfiche WebLink
/4 ACTIVITY ~ <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION A~ <br /> BUILDING ~ r AG EXEMPT BUILDING ~ ELECTRIC <br /> <br /> ~ DWELLING ~ I BUILDING DEMOLITION ~ -~ MINOR EL LABEL <br /> ~ t DWELLING LA~EL ~ ~ SITE PLAN REVIEW [ ~ PLUMBING <br /> ~ MANUFACTURED DWELLING ~ ~ SITE EVALUATION ~ ~ MECHANICAL <br /> ¢~-~ MANUFACTURED STORAGE ~ i SITE EVALUATION/SEPTIC ~ i DRIVEWAY <br /> ~ · PRE-FAB i ~ SEPTIC t : INFORMATION <br /> <br />NAME OF APPLICANT: <br /> <br />PROJECT ADDRESS: _~/f;~ ~-O~ R0 /~ ~¢~o£~ <br /> <br />WORK DESCRIPTION: _~00~ ~bO~r~ / <br /> <br />(,,~ I am performin~ the work on propBrty I own or occupy. <br /> <br />~ am a registered builder or the authorized tepresentatNe of a re§istered 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 />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 requirement~ are checked prior to J~suance of a permit, it is the responsibility of the applicant <br />to assure that all necessaW information has been provided. <br /> <br />As soon as all requirements of the review have been met, you wilt be notified that your permit has been <br />issued and ready to be picked up, <br /> <br />FOR OFFICE U~E ONI~y: <br /> <br />BLOCI~I~,, <br /> <br /> <br />