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ACTIVITY # <br /> <br />pLEASE FILL oUT THE FOLLOWING INFOR~VIATiON AND YOU WiLL BE DI:RECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />T~yPB OF (~PPLIGATION <br /> L.__J AG EXEMPT BUILDING I ,,J ELECTRICAL <br /> <br /> m-~ [ I BUILDING; DEMOLITION ~ MINOR EL LABEL <br /> ~ ~ DWELLING <br /> <br /> ~ DWELLING LABEL ~ SITE PLAN R~IEW ~ PLUMelNG <br /> ~.,~ MANUFACTURED DWELLING SITE ~ALUA~QN ~ MECHANICAL <br /> ~ MANUFACTURED STORAGE [ J SITE ~ALUATJ~I~EP~C ~ ORIV~WAY <br /> ~ ) PRE-FA~ ~ SEPTIC ~ J INFORMATION <br /> <br />~LAME OF APPLICANT: ]~'~.J2_C~ ~_c.~2~J C> ~ PH# <br /> <br />PROJECT ADDRE$S~: ~ ~FC~r- ~_L~,~ <br />woRK DESCRmr ON' <br /> <br /> cD___, <br />Jam performing the worn on prope~ I own or occupy, ~/~ <br />I am a reBistered builder or the authorized representative of a registered <br />State of Oregon Constru~ion Contra~or's ~oard ReBistration ~ <br /> <br />I am the authorize~ tepresentat've of the ptOpe~ owne~ or contr~mor. <br /> <br />will be h{ring a genera{ contractor registered with the Construction Contractors Board. <br /> <br />This appIicadon may go through a simultaneoUS review process where zoning, septic (i( applicable) and <br />construction requirements ~re checked prior to issuance of a permit. It is the responsibility of the ~Dplicant <br />[o assure thai all necessacy information has been provided. <br /> <br />As soon as all requirements of the review h~ve been met, you will be notified that your permit h~s been <br />issued ~r~d ready to be picked up, <br /> <br /> <br />