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ACTIVITY # <br /> <br />PLEASF FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br /> <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> ~ ~ BUILDING ~ ,,,, ,t A~3 EXEMPT BUILDING L-,,--J ELECTRICAL <br /> DWELLING ~ BUILDING DEMOLITION ~ MINOR EL LABEL <br /> ~ I DWELLING LABEL ~ I SITE PLAN REVIEW ~ ~ PLUMBING <br /> ~ I MANUFACTURED DWELLING ~ S~TE EVALUATION ~ MECHANICAL <br /> <br /> ~ ~ MANUFACTURED STORAGE ~ I SITE EVALUATION/SEPTIC ~ <br /> DRIVEWAY <br /> <br />NAME OF APPLICANT: <br /> <br />PROJECT ADDRESS: <br /> <br />PH# <br /> <br />WORK DESCRIPTION: <br /> <br />( ) I am performing the work on property t own or occupy. <br /> <br /> I am a registered builder or the authorizedi representative of a registered builder. <br /> State of Oregon Construction Contractor's Board Registration # ~ ~,~c~-...~' <br /> FAX# <br /> <br /> I am the authorized representative of the Property owner or contractor, <br /> I will be hiring a general contra~or registered with the Construction Contra~oar~, <br /> 19~5: <br /> <br />construction requirements are checked prior to issqance of a permit. It is the res~fft~ ~~.t <br />to assure that all necessary information has been provided. <br /> <br />AS soon as all requirements of the review have b~en met, you will be notified that your permit has been <br /> <br /> ....... // , <br /> <br />SUBDIN~$1ON: <br />REV 8/3/95 <br /> <br /> <br />