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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 /> I-~BBUILDING <br /> t._.._l DWELUNQ <br /> <br /> ~ DWEU.~Q LABEL <br /> <br /> ~ MANUFACI~RED DWELUNG <br /> ~ MANUFACTURED STORAGE <br /> ~ PRE-FAB <br /> <br />AO EXEMPT BUILDING <br />BUILDiN.G DEMOUTION <br /> <br />SITE EVALUATION <br /> <br />SITE EVALUAllON~EPTIC <br />SEPTIC <br /> <br />MINOR El. LABEL <br />PtJUMBING <br />MECHANICAL <br />DRIVEWAY <br /> <br />NAME OF_.APPLICANT: <br /> <br />PH# <br /> <br />PR__~OJECT ADDRESS: ~~ <br /> <br />W. ORK DESCRIPTION: <br /> <br />( '~'"'"~'1 am performing the wo~ on property I own or occupy. <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 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 />SIGNATURE OF APPLICANT: <br /> <br />REV I~SS <br /> <br /> <br />