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PLEASE, FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. ~,. ~ ~ / ('""-.//~ <br /> <br />- ^PPuC^T,O SV ,TT^ / <br />?-'.. BUILDING <br /> <br />DWELLING <br /> <br />DWELLING LABEL <br />MANUFACTURED DI~r.J. LING <br />MANUFACTURED STORAGE <br />PRE-FAB <br /> <br />AG EXEMPT BUILDING i , J ELECTRICAL <br /> <br />BUILDING DEMOLITION ~ ~ MINOR EL I~BEL <br />SITE PLAN REVIEW' PLUMBING <br /> MECHANICAL <br /> DRIVEWAY <br /> INFORMATION <br /> <br />NAME OF APPLICANT: <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />ADDiTIOk /.i2.EmO L <br /> <br />( ) <br /> <br />( ) <br /> <br />( ) <br /> <br />I am performing the work on property I own or occupy. <br /> <br />I am a registered builder or the authorized representative of a re~j~tered builder. <br />State of Oregon Construction Contractor's Board Registration # <br /> <br />I am the authorized representative of the property owner or contractor. <br /> <br />I will be hiring a general contractor registered 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 issuance of a permit. It is the responsibility of the applicant <br />to assure that all necessary information has been provided. <br /> <br />issued and ready to be picked up __ ~,,~ ~.J.~/ ~ ~_ ~ .~ <br /> <br />As soon as all requirements of the review have been met, you will be notified that your permit has been <br /> <br />FOR OFFICE U,.~E/j/~. NLY: <br /> <br />LOT# <br /> <br />REV SI3195 <br /> <br />BLOCK~ <br /> <br /> <br />