HomeMy WebLinkAboutAPPLICATION - 04-00145 - 417 Violet St - PlumbingAPPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Date of Application � ! 8- 04
Permit No. O y " 66 / 4 (5'
OWNER p '
Name --5 / VJn•�AJ
Site Address Li 7 \A 0 1 ET
Mailing Address 11, 11 - 1 V i o 1 Q
City /State/Zip 'KtX i to �� �� 40
Telephone/Fax/Mobile _ a0 8 — .35� 01q k
CONTRAC
Name
Mailing Address
City /State/Zip
Telephone/Fax/Mobile
PROJECT INFORMATION
Property Zone:
When was this building last c
Architect/ Engineer Firm_
Subdivision
Lot
C ircle One Residential Commercial Educational Goverment
Circle One v Ngw House Addition/Remodel to House
Circle One Basemen Non Finished/ Unfinished
New Commercial Commercial Remodel
Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage Lot Width
Main Level Square Feet JQL _Upstairs Square Feet Basement Square Feet
Garage Square Feet Number of Storie Height of Building
What will structure be used for: Home Home Business Apartment Commercial Other
Will there be an apartment? No If so, how many units
Total Estimated Building Value Are you in a flood plain NO
Signature of Appli n — t_tq�
Code CITY OF REXBURG Building Permit Fees
Zone Plan Check Fees
Building Type APR 2 0 2004 Plumbing Permit Fees g ,g
Commercial Building Plumbing bid Digging Permit Fees
PAID CASH $
Commercial Building HVAC bid _ QHEQ — Water & Sewer Fees
Commercial Building Square footage Front Footage Fee
(Parks, Fire, and Police) Impact Fees
TOTAL $ 4L ag
DEPARTMENT APPROVAL
Is existing use compatible with zoning, (screening parking, etc)
7
Plan Name
Block
Remodel Other
Signature of Inspector
Issued by _
SUBCONTRACTOR LIST
Excavation &
Earthwork:
Concrete:
Masonry:
Roofing:
Insulation:
Drywall.
Painting:
Floor Coverings:
Plumbing:
Heating.
Electrical:
SPECIAL CONSTRUCTION
(Manufacturer or Supplier)
Roof Trusses:
Floor / Ceiling Joists:
Cabinets:
Siding /Exterior Trim:
Other: