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i~L~I,~E FiLL OUT THE FOLLOWING INFORMATION AND YOU ~TED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. / \ ~qS. ~ ? <br /> APPLICTION SUBMITTAL <br /> <br /> [ 1 <br />~ ~ AG EXEMPT I~UILDINQ ~ ELeCTRiCAL <br /> <br />  WI~LLING L.~ BUlLiNG DEMOLitION L ,,,, i MI~OR EL <br /> ~ DW;LUN0 ~EL ~ SiTE P~N R~t~ PLUM~ING <br /> <br /> ~ ~ ~ ~ MECHANICAL <br /> ; ~ MANUFAC~RED DWELLING ; J Sl~E EVALUATION <br /> <br /> t . ~ MAC,FAiRED STORAGE ~ ~l~ EVALUATION~EPTIC ~. ~ DRIVEWAY <br /> <br />.~ME OF: APPLIC, ANT:__ 4..J~ ~,"J E'- ~. Jr'-'~' <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />( ) I am performing the work on property I own or occupy. <br /> <br />'~as~am a registered builder or the authorized representative of a reg{stered ?.ui[der. <br />te of Oregon Construction ContractoPs;8oard Registration # ~ 7 ~. <br />FAX# <br /> <br />( ), I am the authorized representative of the property owner or contractor. <br /> <br />will be hlring a general contractor ~e§istered with the Construction Contractors Board, <br /> <br />This application may go through a simultaneous ~view process where zoning, septic (i~' 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 p'rovidecL <br /> <br /> review hay en met, you will be notified that your permit has been <br />issued and ready to be picked up. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />REV 5/16/95 <br /> <br /> <br />