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PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DiR£CTED TO THE NEXT <br />AVAI'I~ABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE .O..F APPLiCATiON <br /> <br /> I ~ ~U~LDING i J AG EXF. IV[PT BUILDING ~ ELECTRICAL <br /> ~ DWELLING ~ J BUILDING DEMOLITION L._.J MINOR EL LABEL <br /> ~ DWELLING LABEL ~ SITE PLAN REVIEW ) .,, ~ PLUME, lNG <br /> <br /> ~ MANUFACTURED DWELLING i J SITE EVALUATION ~ MECHANICAL <br /> t · MANUEACTURI~D STORAGE i ~ SITE EVALUATION/SEPTIC L ~ ORIVEWAY <br /> t ~ PRE-FAB, ~ ~ SEPTIC L.._J INFORMATION <br /> <br />NAME~OF APPLICANT_: <br /> <br />PROJECTADDRES..S: <br /> <br />WORK DESCRIPTION: <br /> <br />( ) <br /> <br />~ am performing the work on property I own or occupy. ~.0~-' <br />I am a registered builder or the authorized representative of a registered builder. <br />State of Oregon Construction Contractor's BOard Registration # .~'-7 ~. ( ~ <br />FAX~ <br /> <br />I am the authorized representative of the prope~ owner or contra~or, <br /> <br />( ) I will be hiring a genera( 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. ~t Js 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 /> <br />