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ACTIVITY # ..... <br /> <br /> FILL OUT Ti'ii: FOLLOW|N(~ INi:OJLM,ATION AND YOU WIlL EIE DIRECTED TO THF <br />AVAILABL£ BUILDING CeDI T~CHNiCIAN. <br /> APPLICATION~~!~' J SUBMITT~~~ ~-~ <br />  ~: ~' ~ ELECTRICAL <br /> <br />T~rY--P? OF APP__L,ICATIO~ <br /> <br /> ~ ~ BUILDING <br /> ~ OWELUNG ~ BUILDING D~OLI~ON <br /> ~ DWELLING ~EL r~, z ~[~ p~ R~EW <br /> ~ . ~ S~ ~ALUATION <br /> <br /> ~ MANUFACTURED ~TO~G~ ~ SffE ~UATIQN/S~IC <br /> ~ PRE,FAe ~ S~TIC ~ <br /> <br />MINOR EL LABEL <br />PLUMBING <br />MECHANICAL <br />DRIVEWAY <br />INFORMATION <br /> <br />PH# ~ <br /> <br />PR.~OJECT Al)DRESS; <br /> <br />~WOF~K DE_S_CRIPT[gN: <br /> <br />(~'~ i am p~rforming the work on property I own or occupy. <br /> <br />( ) <br /> <br />I am a registered builder et the authorized representative of a re~;istered builder, <br />State of Oregon Cons~:ruction Contractor's Board Registration # .... . <br />FAX# . <br /> <br />( ~ I am the au[horized represeptative of the property owner or Contractor. <br /> <br />( ) I wilt be hiring a ~eneral contracto,: registered with the Construction ContraCtors Board. <br /> <br />This application may go through a simultaneous review process where zonJes , septic (if applicable) end <br />construction requirements ere checked prior to issuance of a pe~rnJt. It Js the responsibiJib/of the applicant <br />to assure that all necessary information has been provided, <br /> <br />As soon as all requirements of the review have been met, you will be notified that your permit ha~ been <br />issued and ready to be p~cked up. <br /> <br /> <br />