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PLEASE FILL OUT THE FOLLOWING INFOP-J~ATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAI~BLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />'TYPE OF APP. t. ICA'"rIO.N <br /> <br /> I am performing the work on property I own or occupy', <br /> <br /> I am a registered builder or the authorized representat ye of a registered builder ,-'~ ~--,.,~-.[ , <br /> State of Oregon Construction Contractor s Board Registration # ~/'~z-;cj~ <br /> FAX# <br /> <br /> I am the authorized representative of the property owner or contractor. <br /> <br /> I will be hirin§ a ~eneral 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 />construct[on 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 pro¥lded. <br />AS soon as all requirements of the review have been, l,met, you will be notified that your permit has been <br />issued and ready to be picked up. <br /> <br />SIGNATURE OF APPLICANT: ~ ' , __ <br /> <br />FOR OFFICE USE oNLY: <br /> <br />MAP PAOE:~ ZONE: <br /> <br />SUBDMSION: <br /> <br />TAX ACCT# <br /> <br /> <br />