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PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BI: DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODI: TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYP~E OF AP~I_ICATION <br /> <br /> BUILDING l, ~ AG EXEMPT BUILDING ~, ~ ELECTRICAL <br /> <br /> ~ / DWELLING r .J SUILDING DEMOLITION ~ M~NOR EL LABEL <br /> <br /> ~,,, ~ DWELLING LABEL I, ~ BITE PLAN REVIEW I I PLUMBING <br /> ~ MANUFACTURED DWELLING ~ SITE EVALUATION I.,, ~ MECHANICAL <br /> <br /> ~ ~ PRE-FAB ~ SEPTIC INFORMATION <br /> <br />I am performing the work on properW I own or occupy, J ~ <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 />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 checl~ed 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,)~will be notified that your permit has been <br />SIGNATURE OF APPLICANT, ,~.~.~ :~.~_. .... <br /> <br />REV 8/3/95 <br /> <br /> <br />