HomeMy WebLinkAboutAPPLICATION - 04-00143 - 790 Poplar Cir - New SFRAPPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Date of Application t 4 IL(- y ( 4 Permit No. o 1 4 - O O
Name
Site Address
ak- sc'b c� q P
Mailing Address * 71
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City /State /Zip
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Telephone/Fax/Mobile
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CONTRACTOR
Name
Mailing Address
7
City /State /Zip Cp
Z
Telephone/Fax/Mobile
I b
PROJECT INFORMATION DEPARTMENT APPROVAL
Property Zone:
Is existing use compatible with zoning, (screening parking, etc)
When was this building last occupied f b -
Architect/ Engineer Firm
Plan Name
Subdivision r
.544 A iS,M� Lot J !T Block
Circle One r Residential
Commercial Educational Government Remodel Other
Circle One New Ho
Addition/Remodel to House New Commercial Commercial Remodel
Circle One \ Basement: None/ Finished / nfmished 1 4 N 094 AOther: None/ Patio/ Carport/ Awning /A
Lot Square Footage Lot Width �;Q
Square Feet Garage Square Feet �f O Number of Stories Height of Building
What will structure be used for: Hom Home Business Apartment Commercial Other
Will there be an apartment ?? - A) 0 If so, how many �units
Total Estimated Cost /j� oo Are you in a flood plain /o
Signature of Applicant
Code Building Permit Fees
Zone
Building Type,
Plan Check Fees
Plumbing Permit Fees.
Digging Permit Fees_
Water & Sewer Fees
Front Footage Fee,
(Parks, Fire, and Police) Impact Fees
Signature of Inspector
TOTAL $
Issued by