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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION A, ND YOU WILL gl: DIRECTED TO THE NEXT <br />A VA,LABLE tUlL DING CODE TECHN,CIAN. ...~~ <br /> <br /> A?PUC^IION SUBMIIIA/ <br /> <br />AG EXEMPT BUILDING I I ELECTRICAL <br />BUILDING DEMOLITION ~ MINOR EL LABEL <br />~iTB PLAN REVIEW ~ PLUM~tNG <br />SITE EVALUATION I J MECHANICAL <br />BITE EVALUATiON/SEPTIC ~ J DRIVEWAY <br />SEPTIC ~ INFORMATION <br /> <br />PH# <br /> <br />PROJECT .ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />I 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 Registration # <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 re'~iew process where zoning , septic (if applicable) and <br />construction requirements are checked prior to issuahce of a permit. It is the responsibility of the applicant <br />to assure that all necessary information has been pro9 ded <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 /> <br />