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ACTIVITY # <br /> <br />PLEASE FILE OUT THE FOLLOWINC INFOP, MATION AND YOU WILL BE DIP, ECTED TO THE NEXT <br />AVAILABLE BUILDING CODe TECHNICIAN. ~' ~-... /~) ~-~'~ ~'~ <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> <br /> ~ ] euiLDING L i AG EXEMPT SUILDING [ i ELECTRICAL <br /> <br /> I i DWELLING LABEL I ~ $1T~ PLAN REVI'~,~ ' f r PLUMr~ING <br /> <br /> L_:' <br /> MANUFACTURED DWELLING ~:]- ~ITE I~VALUATIO'~I L ~ MECHANICAL <br /> <br /> ~ MANUFACTURED STORAGE 1 ~ $~E EVA'LUATIONJSEPT)C ~. t DRIVEWAY <br /> <br />NAME_OF APPLICANT: ~A~/g~ ~Y~e~/ ? <br /> <br />WORK DESCRIPTION: ..~ __, _~z~/ <br /> <br /> I am pedorming the work on ~roperty I own or occupy. <br /> <br />( ) <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 /> <br />( ) I am the authorized representative of the property owner. <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 responsibility of the applican~ <br />to assure that all necessary information has been provided. <br /> <br />As soon as all raquirements of the review have been met, you will be nol:ified that your permit has been <br /> <br />SIGNATURE OF APPLICANT: ~ t~ ~ <br />gEV 2/1/95 <br /> <br /> <br />