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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. ~_~.~ __~--~q~ ~ <br /> <br /> TYPE OF APPLICATION <br /> [] BUILDING [] AG EXEMPT BUILDING <br /> [] DWELLING [] BUILDING DEMOLITION <br /> [] DWELLING LABEL [] SITE PLAN REVIEW <br />,~ MANUFACTURED DWELLING [] SITE EVALUATION <br />[] MANUFACTURED STORAGE [] SITE EVALUATION/SEPTIC <br /> <br />ELECTRICAL~ <br />MINOR EL LABEL <br /> <br />DRIVI~NAY <br /> <br />~NFORMATION <br /> <br />NAME OF APPLICANT: <br /> <br />WORK DESCRIPTION: <br /> <br />I am pofformieg the work on property I own or occupy. <br /> <br />I am a registered builder or the authorized representative of a registered builder. <br />State of Oregon Construction Contractor's Board Registration # <br />FAX~ <br /> <br />I will be hidng 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 requimmants are checked prior to issuance of a permit. It is the responsibility of the applicant <br />to assure that all necessa~/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 />I certify that I have read this application and state that the information given is correct. I agree to <br />comply with all state laws and county ordinances relating to building construction. I will authorize <br />a representative of Building Inspection to enter on the property for the purpose of making <br />inspections for this permit. <br /> <br />SIGNATURE OF APPLICANT: ~ <br /> <br /> <br />