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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 I I AG EXEMPT BUILDING I I ELECTRICAL <br /> <br /> I I DWELLING I r BUILDING DEMOLITION i I MINOR EL LABEL <br /> <br /> I .~ DWELLING LABEL i ~ BITE PLAN REVIEW I I PLUMBING <br /> ~ ~ MANUFACTURED DWELLING ~ ~ StTE EVALUATIQN I I MECHANICAL <br /> ~ J MANUFACTURED STORAGE ~ I BITE EVALUATION/SEPTIC I I DRIVEWAY <br /> <br /> L__.J PRE-FAB t, J SEPTIC ~ ~ INFORMATION <br /> <br />NAME OF APPLICANT: ' ._.;~'~,.~ ./~ .-~'-~o~/.~, ,-. PH#~.~-~ <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION= <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 # <br />FAX# <br /> <br />am the authorized representative of the property owner or contractor. <br /> <br />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 />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 />REV 8J3/gS <br /> <br /> <br />