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fi. EASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br /> <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br /> APPLICATION SUBMITTAL <br /> <br />TYpE OF APPLICATION <br />~ ~ BUILDING ,~/ ~ AG EXEMPT BUILOING ~ ELECT L <br /> DWELLING ~ I ~ BUILDING DEMOLITION ~ MINOR EL LABEL <br /> <br /> ~ ~ DWELLING LABEL ~ ~ SITE PLAN REVIEW ~ PLUMBING <br /> ~ ~ MANUFACTURED DWELLING ~ · SITE EVALUATION ~ MECHANICAL <br /> <br /> ; ~ MANUFACTURED STORAGE ~ SITE EVALUATION, SEPTIC t~J DRIVEWAY <br /> ~ ~ PRE-FAB t.__.d INFORMATION <br /> <br />NAME OF APPLICANT: T'L C'e. LV' <br /> <br /> ' am performing the work on property ' own or occupy. ~ <br /> I am a registered builder or the authorized representative of a registered 'builder. <br /> State of Oregon Construction Contractors Board Registration # .~. '~' // <br /> FAX# '-' ' <br /> ' ;7oB. <br />, am the authorized representative of the property owner or contractor. ~L~ <br />(~/'' w"l be h r ag a general contractor registered with the Construct,on Contr~ctori Boa .~-~ <br />cTo~ lass t:~ Pct~ q~t,¢r ea Ym egn°tst h;r°eUcg~he ~k ~id~t~l :~ ~?s s r ta~ ? ~~g~ ~l i( i~ ~1 ic~a ndt~'' <br />to assure that all necessary information bas 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 />FOR OFtCK~ U~ <br /> <br />REV <br /> <br /> <br />