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ACTIVIn' # <br /> <br />PLEASE FII. L OUT ]'HE EOLLOWlNG INFORMATION AND YOU WILl. BE DIRECTED <br />AVAILABLE BUll.DING CODE TECHNICIAN, <br /> <br />APPLICATION SUBMITTAL <br /> <br />TYPE OF APPLICATION <br />~ BUILDINa [] Aa EXEMPT EUILDINQ <br />[] DWELLING [] BUILDING DEMOLITION <br />[] DWELLING LABEL [] SITE PLAN REVIEW <br />[] MANUFACTURED DWELLING [] SITE EVALUATION <br />[] MANUFACTURED STORAaE [] SrrEEVALUA ON SEeTIC <br />[] eRE A. [] <br /> <br /> TO THE NEXT <br /> <br />EL~[_L~cTRICA L <br /> <br />MINOR EL LABEL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />DRIVEWAY <br /> <br />INFORMATION <br /> <br />NAME OF APPLICANT: <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />I am performin~ the work on property I own or ocoup¥. <br /> <br />() <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 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 permiL 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 con'ecL I agree to <br />comply with all state laws and county ordinances relating to building 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 AP .LIOANT: <br /> <br />FOR OFFICE U~E ONLY: GE~CT: FLOOD PLAIN SUDE__._ HI,,.~ WETLaNDS_~ LAND USE CASE <br /> <br />SUBDMSION: .(~ BLOCK# <br /> <br /> <br />