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PI,EASE EILL OUT THE FO~.LOWING INFORMATION ANO YOU WILL BE DIRECTED TO THE NEXT <br />AVAIl,ABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATIO,N. <br /> <br /> BUtLD~NG ~ AG F~XEMPT BUILDING ~ ELECTRICAL <br /> ~ BULLDOG DEMOLITION ~ MINOR Eb <br /> <br /> ~ = MANUFAC~RED DWELLING ~ J SI ALUATION MECHANICAL <br /> <br />PROJECT, ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />( ) <br /> <br />I am a registered builder or the authorized representative of a registered builder. <br />State of Oral[on Construction Contractor's Board Re$istration # ~¢~)i,~, ] .......... , <br /> <br />( ) I am the authorized repr~entative of the property owner or contractor. <br /> <br />( ) I will be hiring a general contr'aCt, or registered with the Construction Contractors Board. <br /> <br />This application may go throFgh a simultaneous review process where zoning, ~eptic (if applicable} and <br />construction requirement~ are ch~d pdor to issuance of a pe~it. It is the res~nsibili~ of the applicant <br />to ~sure that all ne~ss~W info~ation h~ ~en provided_ <br /> <br />AS SOOn as all requirement~ of the review have been met, you will be notified that your permit has been <br /> <br />issued and ready to be picked up. <br /> <br />SIGNATURE OF APPLICANT: ~ <br /> <br />FOR QFFIC~ USE UNLY: <br /> <br />RE¥ 316195 <br /> <br /> <br />