HomeMy WebLinkAboutAPPLICATION - 04-00198 - 305 E 3rd S - AdditionAPPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Date of Applicatio */ b q Permit No. r) 1 4 — n q
OWNER
Name -
Site Address K d 'SA rti�
City /State/Zip
Telephone/Fax/Mobile
CONTRACTOR
Name
P
Mailing Address ZI 1)2�. RZ00 C
City /State/Zip S4 1 � 5
Telephone/F"obile _ �� - 84
PROJECT INFORMATION DEPARTMENT APPROVAL
Property Zone: Is existing use compatible with zoning, (screening parking, etc) IS el _
When was this building last occupied C " ( Lw QC�i) ?
Architect/ Engineer Firm Plan Name
Subdivision Lot Block
Circle One Residential Commercial Educational Government Remodel Other
Circle One New House ddition/Remodel to Hous New Commercial Commercial Remodel
Circle One Basement: None/ Finished / Unfinished Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage Lot Width � � �aD-A4 .
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: IZED Home Business Apartment Commercial Other
Will there be an apartment?
Total Estimated Building `V
4 1,
Signature of Applicant
Code
If so, how many units
Are you in a flood plain
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
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3os 3rd 5ou4
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Job Prop sal•
KLINGLER PAINT AND REMODELING
208 - 624 -3847
Date
Estimated Materials:
NO=
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C A M CL
Signature: I understand t.�at this is an estimate for materials and labor.
Clayne Kli: glee
Final Proposal: Date ?v
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accept th.s bid as written. I understand that an changes ir. design
^ I
p dditi riot ons o covered r;v this bid are extra.
1 N C , 11
Cia
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