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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YoU WILL BE DIRECTED TO lItE NEXT <br />AVAIIABI.E BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPL~CATtON <br /> <br />AG EXEMPT BUILDING ELECTRICAL <br />SUILDING DEMOLITION ~ MINOR EL LABEL <br />SITE PLAN REVIEW ~ ~ PLUMBING <br />SITE EVALUATION ~ -J MECHANICAL <br />SITE EVALUATION/SEPTIC ~ DRIVEWAY <br />SEPTIC <br /> <br />NAME OF APPLICANT: <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />[ 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 />SKate 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 beer~ 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 />$1GN^IURF OF <br /> <br />FOR ~ U$~E OHLY= <br /> <br /> ZONE: <br /> <br />NL~.p PAGE:,__ <br /> <br />REV 316195 <br /> <br /> <br />