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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 />REEIVEO <br /> <br />TYPE OF APPLICATION MARION COUN[Y <br /> BUILDING ~ AG EXEMPT BUILDIN6 BUICD;GG Ilqqll~lmu~ <br /> OWECC{N6 ~ BUILDIN60~OLITION ~ I M~NOR EL ~BEL <br /> <br /> DWELLING ~BEL ~ SITE P~N REVI~ ~ .. J ' PLUMBING <br /> MANUFACTURED DWELLING ~ SITE ~ALUATION ' 3 MECHANICAL <br /> MANUFACTURED ~TORAGE ~ SITE ~ALUATION/SEPTIC ~ ,, ~ DRIVEWAY <br /> PRE'FAB ~ SEPTIC <br /> <br />NAME OF APPLICANT: <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />( ) I am performing the work on property I own or occupy. <br /> <br />(F) I am a registered builder or the authorized representative of a registered builder. <br /> State of Oregon Construction Contractor's Board Registration # ~_~" . <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 bas 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 /> <br />issued and ready to be picked up~/'~ .~ <br />SIGNATURE OF APPLICANT: <br /> <br />FOR Ot=RCE USE <br />[I~IAPPAGE:+~0/ ZON~(~'~ ~S~: <br />R~ 3/6195 <br /> <br /> <br />