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ACTIVITY # <br /> <br />TYPE OF APPLICATION <br /> <br /> i ~ E~UILDING <br /> [ ~ DWELLING <br /> ~, ~ DWELLING LASEL <br /> <br /> ~ ~ MANUFACTURED STORAGE <br /> ~ ~ pRE.FAB <br /> <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 /> ~AG EXEMPT BUILDING <br /> <br />NAME OF APPLICANT: <br /> <br />BUILDING DEMOLITION <br />SITE pLAN REVIEW <br /> <br />SITE EVALUATION <br /> <br />BITE EVALUATION/SEPTIC <br /> <br />ELEOTRISAL <br />MINOR EL LABEL <br />PLUMBING <br />MECHANICAL <br />DRIVEWAY <br />INFORMATION <br /> <br />PH# <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />(J,~ I am performing the work on property I own or occupy, <br /> <br /> ) f am a registered builder or the authorized representative of a registered builde~ <br /> FAX#State of Oregon Construction Contractor's Board Re,,.stratio, # ~ '~.~.~ ~ ~ <br />( ~ I am the authorized representative of the property owner or contractor, tO <br /> <br />( ) I will be hiring a general contractor registered with the Construction Contractor . i[~ <br /> <br />This application may go through a simultaneous rev}ew process where zen}rig, septic {i~i~applicable) and <br /> <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 />FOR OEFIGE U.SE CItlLY: <br /> <br /> ./,--/ <br /> <br />REV 8/3,'9S <br /> <br /> <br />