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PLEASE FILE, OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLJ~ BUll, DING CODI~ T~:CHNiCIAN, <br /> <br /> APPLICATION SUIB/VUTTAL <br /> <br />r J DWELLING ~BEL ~ S~E P~ R~I~ ~ ~UM~ING <br />I. ~ ~NUFACTURED DWELLING ~ S~ ~ALUATION ~ MECHANICAL <br /> <br /> (,~.) I am performing the work on property { own or occupy. <br /> <br />( ) I am a registered builder or the authorized representative of a registered builder. State of Oregon Construction Contractor's 8oard RegiStration # ...... . <br />( ) i am the authoH:.ed representative of the property owner e~ contraCto~'..~ ~.g~(~O ~._~ ~ ,.~.~~'"-~*~ --:.'.'~ <br />~ I will be hirin8~ <br /> <br />This apphcation may go thro~J~jh a <br />construction requirements Are checked prior to issuance of a permit. It is the responsibiIK'y of the applicant <br />to assure that all necessary in[ormation has been provided, <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 <br /> <br />SIGNATURE OF APP <br /> <br />FOR o~C~ ~ <br /> <br />MAP PAGE:,_~ ZONT:: C~OS~ <br /> <br />REV <br /> <br /> <br />