HomeMy WebLinkAboutAPPLICATION - 04-00161 - Women's Housing - RemodelAPPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Date of Application
.4 H�l�t
Permit No.
Name l h er u. i S Uo � U '--
Site Address
Mailing Address _ - 2,0 AV
City /State/Zip _,7f� , E S j (S j;4 _ q 1 1
Telephone/Fax/Mobile to �/— ,j a q - - 3 9 ') � 5 3 '
CONTRACTOR
Name _ L� �I lam- e x g�;
Mailing Address
City/State/Zip ti, 42 ek _ 1
Telephone/Fax/Mobile X 7S 1 7 — L,� // " Gh/O
PROJECT INFORMATION DEPARTMENT APPROVAL
Property Zone: Is existing use compatible with zoning, (screening parking, etc)
When was this building last occupied 0 7� ' ?
Architect/ Engineer Firm
Plan Name
Subdivision Lot Block
C ircle One Residential Commercial Educational Government Remodel Other
Circle One New House Addition/Remodel to House New Commercial Commercial Remodel
1 Circle One Basement: None/ Finished /p�Unfini ee Other: None/ Patio/ Carport/ Awning N/A
7 Lot Square Footage I. r J X ( k � " 139 D z,g Lot Width
7 Main Level Square Feet Upstairs Square Feet Basement Square Feet
Garage Square Feet Number of Stories Height of Building
What will structure be used for: Home Home Business Apartment Commercial Other
Will there be an apartment? 000 _✓ If so, how many units
Total Estimated Building Val Are y u i a flood plain
Signature of Applicant ILJ 1,
Code
Zone
Building Type,
Commercial Building Plumbing bid
Commercial Building HVAC bid
Building Permit Fees
Plan Check Fees
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Commercial Building Square footage Front Footage Fee
(Parks, Fire, and Police) Impact Fees
Signature of Inspector
Issued by
TOTAL $