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PLEASE FILL OUT THE FOLLOWING INF. ORMATION AND YOU WILL BE OIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />]~fpE OF APPLICATION <br /> I~ nU~LOl~G .[] At EXEMPT <br /> [] DWELLING [] 8UILOING DEMOLI'~ION <br /> ~ DWELLING ~BEL ~ SITE P~N R~[~ <br /> ~ ~ANUFAC~RED g~LLING ~ SITE ~ALgAT[ON <br /> ~ M~NUFAC~RE0 STOOGE ~ SITE ~ALUA~ONISEPTIC <br /> <br />ELECTRICAL <br /> <br />MINOR EL I_ABEL <br /> <br />iNAME OF APPLICANT: <br />.PROJECT ADDFIE$S; <br /> <br />WORK DESCRIPTION; <br /> <br />( ) <br /> <br />( ) <br /> <br />() <br /> <br />I am performing {he work on property I own or occupy. <br /> <br />[ am a registered builder or {he author[zed representative of a registered builder. <br />State of Oregon Consb-ucl.bn ConlJ-actor's Board Registration # ~(~ . <br />FAX# <br /> <br />I am the aulhod, zed represenl~fJve of the property owner or contractor. <br /> <br />I wi[~ be biting a geneca[ contractor registered with the Construction Contractors Board. <br /> <br />-Chis application may go through a simultaneous review process where ~oning. seplJc (if applicable) and <br />construction requirements are checked prior to issuance of a peimit it is the responsibifity of the applicant <br />to assure that ali necessary information has been provided. <br /> <br />As soon as ail requirements of the review have been met. you will be notiEed that your permit has been <br />issued and ready to be picked up. <br /> <br />l certify that I have read this application and state that the Information given is correct. I agree to <br />comply w th a I state aws and COUGh/ordinances re...L~ng to bu Iding construction I will authorize <br />a representative of Building In~r on,the property for the purpose of making <br /> <br /> <br />