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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORK'~TION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE EIUILDiNG CODF TECHNiCiAN, <br /> <br /> APPLICATION SUBMITTAL <br /> <br /> TYpE F APPLICATION <br /> <br /> r ' .~AG E~(EMP¥ EUILDING <br /> [ ,,,J et.iILOING <br /> <br /> I-..-~ <br /> <br /> ~ ~ DWELLING LASFA, ( ~ SITE PLAN REVIIEW <br /> <br />~-.-j/55j/~l~' MANUFAC'I'IJRED DWELLING <br /> ~ -J SITE EVALUATION <br /> <br /> ~ ~ MANUFAC¥I.IRED STORAGE I t $1T~ EVALtJA~ONISI~P¥1C <br /> .NAME OF. APPLICANT: <br /> <br />ELECTRICAL <br />MINOR EL LABEL <br />PLUMBING <br />MECHANICAL <br />DRIVEWAY <br />INFORMATION <br /> <br />PH#~ <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />(~" I ,3m pet'foi'ming the work on property I own or occupy, <br /> <br />I am ~ registered builder or the ~uthorized representative of a registered builder. <br />State of Oregon Construction Contractor's Board Regi,stratian # <br />FAX# <br /> <br />t,/Y' } am the euthorized representative of the property owner or contr~Cl:or, <br /> <br />I will be hirin$ a general contractor reJ~istered with the Construction Contractors Board, <br /> <br />This application may go through a Simultaneous review process where zoning, septic (if applicable) and <br />construCtiOn requirements are checked prior to Jst~uance of a permit, It is the responsibility 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 has been <br />issued and ready ~o be picked up. <br /> <br /> <br />