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ACTIVITY <br /> <br />PLFJkSE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br /> ~ · [] AG EXEMPT BUILDING <br />~ [] BUILDING DEMOLITION <br /> <br /> [] DWELLING LABEL [] SITE pLAN REVIEW <br /> [] MANUFACTURED DWELUNG [] SITE EVALUATION <br /> [] MANUFACTURED STORAGE ' [] SIT£ EVALUATION/SEPTIC <br /> [] PRE-FAB [] SEPTIC <br /> <br />[] E[-ECTRICAL <br />[] MINOR EL LABEL <br />[] PLUR~B[NG <br />[] t~ECHAN[CAL <br />[] OR[VEWAy <br /> <br />[] INFORMATION <br /> <br />PROJECT ADDRESS: IL'i'll, /~-Cl~..k[~'~ /-~'~ -~'~' <br /> <br />WORK DESCRIPTION: ~H~Z-I) II,,~Z-~, x~.,--' <br /> <br />I am performing me work on property I own or occupy, j"~--" ' / ~ ~-'~ <br />State of Oregon Construction ConLracto~'s Board Regisb'~tion # <br />FAX# <br /> <br />~ I am the authorized representative of the property owner or contractor. <br /> <br />( ) I will be hidn9 a general con~ractor registered with the Construction Contractors Board. <br /> <br />This application may' go through a simultaneous review process where zoning, septic (if applicable) and <br />construcUon requirements are checked prior to issuance ora perrniL It is ~he responsibility of ~he applicant <br />to assure that ail aecessary informafio, has been provided_ <br /> <br />As soon as att 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 rezd this application and state that the t~formatJon given is correct. ( agree to <br />comply with all state laws and county ordinances relating to building construction, t wilt authorize <br />a representative ol~ Building Inspection to enter on the property for the purpose of making <br />inspections for this permit. <br /> <br /> <br />