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ACItVIT¥ # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BF_ OIRECTEID TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />~E Ol= APPLiCATI,..,~_ON <br /> <br />DWELLING <br /> <br />DWELLJNG LABEL <br /> <br />MANUleACTUREID STOl:tAG £ <br />pRE-FAa <br /> <br />AG EXEMPT BUILDING <br />BUILDING DEMOLITION <br />SI'~ PLAN REVIEW <br />SiTE EVALUATION <br /> <br />SiTE EVALUATION/SEPTIC <br /> <br />PROJECT ADDRESS: <br /> <br />O R.W__Q..~(sJZ~SC RI P TIP N: <br /> <br />ELECTRI <br /> <br />MINOR EL LAnEL <br />PLUMBING <br />M~CHANIO <br /> <br />I am performing the work on property I own or Occupy. <br /> <br />I am a registered builder or the authoHz.,ed representative of ~ registered <br />State of Ore,on Constru~ion Contra~or s Board Registration ~ <br /> <br />I will be haln$ a generat contractor re$ismred with the Con:zmdion Contractors <br /> <br />This application may go through a simultaneous review prOCess where zoning, septic (if applicable) and <br />construction requirements are checked prior to {ssuanca 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 to be picked up. <br /> <br />SIGNATURE OF APPLICANT ~/~_~ ~'~, ~_~ <br /> <br /> <br />