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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 /> [] Bu, G <br /> [] DWELLING [] BUILDING DEMOLITION <br /> [] DWELLING LABEL [] SITE PLAN REVIEW <br /> [] MANUFACTURED DWELLING [] BITE EVALUATION <br /> [] MANUFACTURED STORAGE [] BITE EVALUATION/SEPTIC <br /> [] PRE-FAB [] SEPTIC: <br /> <br />ELECll~ICAL <br /> <br />MINOR EL LABEL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />DRIVE,NAY <br /> <br />INFORMATION <br /> <br />NAME OF APPLICANT; <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 />I am the authorized representative of the property owner or contractor. <br /> <br />(/~ I 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 />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 ordlnances~j~tlng to building construction. I will authorize <br />a representative of Building Insp~fition to ,e~.ter o~1 the property for the purpose of making <br />Inspections for this permit. <br /> -/ <br />FOROFFICEUSEONLY: GEODISTRICT:FLOODPLA~N/~BL~E.__T H~STOP~C , WETLANDB <br />SUBDM$1ON: LOT# BLOCK# <br />REV 6/19/96 <br /> <br /> <br />