HomeMy WebLinkAboutAPPLICATION - 04-00144 - 785 Pinehaven St - New SFRAPPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Date of Application �` `i ^ O `f
OWNER
Name
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3
Permit No. DY' ootYYy
Site Address �'g s P4 , a 5
Mailing Address (Q A). _ , d[ E . I* qDy
City /State /Zip
Telephone/Fo
CONTRACTOR
Name a--4 o, 149 mes
Mailing Address e -0. �X 7 of
City /State /Zip
Telephone/Fax/Mobile
PROJECT INFORMATION
DEPARTMENT APPROVAL
Wer46
Property Zone: Is existing use compatible with zoning, (screening parking, etc)
When was this building last occupied
Architect/ Engineer
Subdivision
Circle One (Reside Commercial Educational Government Remodel Other
Circle One eo Addition/Remo use New Commercial Commercial Remodel
Circle One Finished / n 'sh Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage 96ts0 Lot Width l6
Square Feet 101;0 Garage Square Fee Number of Storie Height of Building
What will structure be used for: Ho Home Business Apartment Commercial Other
Will there be an apartment? A)6 If so, how many units
Total Estimated Cos Are you in a flood plain Vb
Signature of Applicant
Code Building Permit Fees
Zone Plan Check Fees
Building Type Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee
(Parks, Fire, and Police) Impact Fees
TOTAL $
Signature of Inspector �� a /� �kws
Issued by
Plan Name