HomeMy WebLinkAboutAPPLICATION - 04-00175 - 777 Engleman St - Lawn SprinklersAPPLICATION FOR BUILDING PERMIT
CfrY OF RMURG, IDAHO
Date of Application -// -v2 g - a/-/
Permit No.
Mi Qla:
Name 41,q j / &, 7( 5 ,9 J,T
Site Address Z],7 Sim le
Mailing Address set 1
City /State/hp _ Rex6Lr re r -7 8 3 7
Telephone/Fax/Mobile —
2171
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CONTRACTOR
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Name
Mailing Address E)
City /State9Zip
i
Telephone/Fax/Mobile
PROJECT INFORMATION DEPARTMENT APPROVAL PAID CA S H $ —
Property Zone: Is existing use compatible with zoning, (screening parking, etc)
When was this building last occupied
Architect/ Engineer Firm Plan Name
Subdivision Lot Block
Circle One Residential Commercial Educational Government Remodel Other
Circle One New House Addition/Remodel to House New Commercial Commercial Remodel
Circle One Basement: None/ Finished / Unfinished Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage Lot Width
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? If so, how many units
Total Estimated Building Value Are you in a flood plain
Signature of Applicant
Code
Zone
Building Type
Commercial Building Plumbing bid
Commercial Building HVAC bid
Commercial Building Square footage
(Parks, Fire, and Police)
Building Permit Fees
Plan Check Fees
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee
Impact Fees
TOTAL $
Signature of Inspector
Issued by