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TYPE OF A,PPLICATION <br /> <br /> I I BUILDING <br /> b..-J DWELLING <br /> <br /> [ ~ DWELLING LABEL <br /> --/55/? 'r ANUEAOTO"EO OWELL,.G <br /> ~ ~ MANUFACTURED STORAGE <br /> <br />, ACTIVITY #... <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 />BUILDING DEMOLITION <br />SITE PLAN REVIEW <br /> <br />SITE EVALUATION <br /> <br />BITE EVALUATION/SEPTIC <br /> <br />NAME OF APPLICANT: _.~,~ ~'E'~t ~ ~TE' <br /> <br />ELECTRICAL <br /> <br />MINOR EL LABEL <br /> <br />MECHANICAL <br />DRIVEWAY <br />INFORMATION <br /> <br />PROJ. ECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />(~,~ I am performing the work on property I own or occupy. <br /> <br />( ) <br /> <br />I am a registered builder or the authorized representative of a registered builder, <br />State of Oregon Construction Contractor's Board Regi,stration # <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 />cor~structJon requirements are checked prior to issuance of a permit, It is the responsibiliW of the applicant <br />to assure that all necessary information has been provided. <br /> <br />AS soon as ali requirements of the review have been met, you wiil be notified that your permit has been <br />issued and ready to be picked up, <br /> <br />SIGNATURE OF APPLICANT: ..... /:f-r'~ ,~,' ~.- LB2(' <br /> <br /> <br />