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PLEASE FILL OUT THE FOLLOWING INFO~ATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAtLABLI: BUILDING CODE TECHNiCiAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLI,C. ATION <br /> <br /> ~ BUiLDiNG ~ ~ AG EXEMPT BUILDING L I ELECTRICAL <br /> ~ ~ DWELLING I ~ BUILDING DEMOLiTION ~ MINOR EL LABEL <br /> ~ ~ DWELLING LABEL I fl SITE PLAN REVIEW ~ . I PLUMBING <br /> ~ MANUEACTtJRED DWELLING ~ · SITE EVALUATION ~ MECI~ANICAL <br /> · I MANUFACTURED STORAGE t ~ SITE EVALUATION/SEPTIC ~ DRIVEWAY <br /> <br /> ~ PRE-FA]~ ~ SEPTIC ~ J INFDRNIATtON <br /> <br />N~AME OF APPLICAN,r: <br />P~ROJ E c-r ADDRESS: <br /> <br /> , <br /> <br />r am performing the work on property I own or occupy. <br /> <br />I am a registered builder or the authorized representative of a registered builder, <br />State of Oregon Construction Contractor's',Board Registratioe ~ <br />FAX# <br /> <br />I am the authorized representative of the properW 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 />construction requirements are checked prior to issuance of a permit, It is the respons}bi~Jty of the applicant <br />to assure that ail 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 />SIGNATURE OF APPLICANT: <br /> <br />FOR OFFICE [LTdE ONLY: <br /> <br />LOT# <br /> <br /> <br />