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ACTIVITY <br /> <br />PLEASE FiLL OUT THI: FOLLOWING INFOP, MATION AND YOU WILL BE DIRECTED TO THE Nt~XT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br /> MARION COUNTY <br /> · , BUILDING INS?ECTION <br />~ ~ ~ ELECTRICAL <br /> ~ A~J EXEMPT eUILDJNG <br /> BUILDING <br /> ~ ~ · MINOR EL LABEL <br /> · ~ BUILDING DEMOLITION <br /> DWELLING <br /> i i L ~ '~LUMBiNG <br /> ~ ~ MECHANICAL <br /> MANUFACTURED DWELLING ~ ~ EVALUATION <br /> <br /> MANUFACTURED ~TO~GE ~ St~ ~ALUA~ON/SEPTIC ~ DRIVEWAY <br /> pRE.FA8 <br /> <br />NAME O,,F APPLICANT: <br /> <br />pR0.,JECT AD, DRESS: <br />~ORK 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 />(/,~ I am the authorized representative of the properly owner or contractor, <br /> J <br /> <br />( ) I will be hiring a §eneral contractor registered with the Construction Contractors Board. <br /> <br />This apDlication may go through a simultaneous review process where zonin$ , septic (if applicable) and <br />COnstruCtion requlremenU: are checked prior to issuance of' a.permit. Il is the responsibility of the applicant <br />to assure that all necessary information has been provided. <br /> <br />As ~.oon as all requirement~ of the review have been met, you will be notified that your permit has been <br />issued and ready to be pi~ked up. <br /> <br />SIGNATURE OF APPLICANT~ <br /> <br />MAP PAGE: ZONE C~OSS E: TAX <br /> <br />~EV3161~$ k <br /> <br /> <br />