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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. <br /> <br />APPLICATION SUBMITTAL <br /> <br /> TYPE OF APPLICATION <br /> <br /> [] BUILDING [] AG EXEMPT BUILDING [] ELECTRICAL <br /> [] DWELLINO [~] BUILDING DEMOLITION [] MINOR EL LABEL <br /> [] DW~LUNG LABEL [] BITE PLAN REVIEW [] PLUMBING <br />-- ~ ~NUFACTURED DWELMN(3 [] SITE EVALUATION [] MECHANICAL <br />[] MANUFACTURED STORAGE [] SITE EVALUATION/SEPTIC [] DRP~EINAY <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 registered builder. <br />State of Oregon Construction Contractor's Board Registration ft. <br />FAX~ <br /> <br />Gm the authorized representative of the property owner or contractor. <br /> <br />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 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 />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 />oomply with all state laws and county ordinances relating to buildlng 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 />FOR OFFICE USE ONLY: GEODISTPJCT: FLOOD PLAIN <br /> <br />MAP PAGE: ZONE: CROSS STREET: <br /> <br />SUBDIVISION: <br /> <br />REV <br /> <br />SUDE___ HISTORJC~ WETLANDS LAND USE CASE.~ <br /> TA~ A~Cl~ <br /> <br /> LOT# BLOCK# <br /> <br /> <br />