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PL't~ASE F~LL OUT THE FOLLOWING INFORMATION AND YOU WILL BE <br />AVAILABLI: BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />ACTIVITY # <br /> <br />D IRECTI~~EXT <br /> <br />TYPE OF ,A. pPLICATIQN <br />L~a~ BUILDING L,,, I AG EXEMPT BUILDING ~ ELECTRICAL <br /> <br /> t ,~ DWELLING L ~ ~,UILDING DEMOLITION [.,,, J MINOR EL LABEL <br /> ~ OWELMNG LABEL ~ ~ITE PLAN REVIEW ~ PLUMBING <br /> <br /> r. ~ MANUFAGTURED DWELLING r ~ ~ITE EVALUATION ~ ) MECHANICAL <br /> ~ MANUFACTURED STORAGE ~ ~ SITE EVALUATtON~EPT~C ~ DRIVEWAY <br /> ~ PRE-FA~ ~ t ~TIC ~, ~ INFORMATION <br /> <br />NAME OF.APPL!,CANT: <br />PROJECT ApDRESS: <br /> <br />(V'~ I am performing the work on properW I owe 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 p!o'perty owner or contractor, <br /> <br /> I will be hiring a general contractor re§istered with the Construction Contractors Board, <br /> <br />This application may go through a simultaneous revi';ew process where zoning ~ septic (if applicable) and <br />construction 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 provided, <br /> <br />As soon as ali 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 />REV 8/3195 <br /> <br /> <br />