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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NE)~T / <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />· ~0~ ^.PL,C^T,ON <br /> ¢[. BU~LD,.G [] ^G ~XEMPTBU,LDI.G A.. ELECTR,C^L <br /> [] DWELLING [] BUILDING DEMOLITION [] MINOR EL LABEL <br /> [] DWELLING LABEL E~ SITE P~N REVIEW D PLUMBING <br /> D ~.u~c~u.~ ~w~u.~ ~ s,~u~,o. D ~c.~.,c~ <br /> <br />I am a registered builder or the authorized representative of a registered builder, - <br />State of Oregon Construction Contractor's Board Registration # .~.,~,~,."7 I <br />FAX# <br /> <br />( ) owner <br /> ) Construction <br /> <br />This ~ <br />construction <br />to assure tha <br /> <br />as all requirements <br /> <br /> f a permit. <br />have been met, <br /> <br />I certify that I have read this application and state that the Information ! <br />comply with all state laws and county ordinances relating to building constmctio~.~"'will authorize <br />a representative of Building Inspection to enter on the property for the p~rpose of making <br />,nspections for this permit. 1 ~/]~(~ / ."'~'~ ( ~ ~' ~"~I <br /> <br /> <br />