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INSPECTED mt"tS COXFOnM fO APPROVED DWGS
INSPECTOR'S ACTION
fi(nernoveo
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ACTION REQUIRED:
N DISAPPROVED
f]NOTAPPLICABLE
trY DN [IN/A
DFINAL
D DtD NOr INSPECT
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PAR(:lil, NLtNfBllR: ( We rvill pttn"idc this for you)
ST]BDIVISION:UNTT#I}I.OCK#
(Acltlressing is bascd otr :hc infeirmation - nust bc accurate)
l)rvelling L'nits:Parcel ,:\cres:
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RESIDENTIAL BUILDING PERMIT APPLICATION
35 N l-'li, Rlil.YBUR(;, It) S3440
208-372-23?6
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flease CompbElhe H,ntire Applic*tion!
lf the qurstiun drx* not rpply ltll in NA for non applic*b*e
{:ONIT'AC'r PHONIi
PROPE]RTY ADDRHSS:
lrF{()NI,l #: I-lonre 12o\ = qt'-43& Work ( )
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hlh{,'\lL Fr\X
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,\l'l'}l.l(1,,\N'f (lf othcr than orvner)
(-\pplicant if other thaa owner, r $tatement nuthorieing applicant to f,{t a$ *gent for ortr-ner must accompanv this applicnti<ln.)
APPI.ICANT INFOIt$fr[l'ION: L\DDRII,SS CI'I'Y:
S'l';\"1'l:,:'/.llt--- l:lU.\ ll
PH()Nli #: F{ome ( )Wurk ( )CcH
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It tjNI;\lLi*
\ OoNTRACTOR 1z 4l
t\L{ILtN(} ADDttl..:SS ' ./8Oo N. /Jc: o4ru{T C{rV /da 4a 2a-/ /s st'n'ni. /4.'/"t?ffiq4 |
#: f{omc ( )\Y<>rk p$t2 3-qtao t:dt ?4-StZ:*SJ/f
Fr\,\-"*_-_- ID,\HO RIiGIS'1RATION # & fiXP. DATH4L*-_
| [orr'nrrnl,buildings *rc krc",rttd nn this prnpertr,?
l)idl,rxlrccentll'purclra.scthispropcrtyl No Yrs{lfvcs, listprrvir:usrrwner'starnc)Pa
ls rhis a hrt splir?@ \'l,l$ {l)tusc bring copy ol'ncrv lcgal rlescription uf propcrq) \
t)fr( ll'()sl.:t) t,st,, A. L/ -ffor<;?,<- et Zaz-/yt Zfa^lp
(i'c..Sirrg|cljanrilr'Rt.sit]cn..ffi'|lcnltxlt.l.(iar.rgu.t:.,'*@
applicatirlnaldstiltct|uttheinftrrnrlt.i<rn
Stetc larvs
tirr in"-prrtions
crscs of rrnv fillse .statenrcnt or mi ion o[ Lrct in thc application ()r {}n thc plnrrri r:n which the pcrmit or approvul was bascd. Pcrrnit void if not
180 dnys. l)crmit v stops lbr l8Jldav-*.
-{r 30 / /)
of ()wner;D"\TIi ,- AUILDIN$ PERMIT MU$T BS POS'TED ON CONSTRUCTION ST'TEI
Plnn fees are non*refundable rnd arc paid in futl at thr time of applicatinn beginaingJefiil&ry-Lrz!105
City of Rexhurgts Acc*ptancc of the plan rcvicrv fce does not conetitutc plrrn apprcvul*'t'B*ilding Psmit Fees are due at tirns nf application** **Huildirg Pcrmits are void if your check does nor clcars
Application Date
Crry ofRrcBy GaRAcD/SnnfFDanlrr
158 west Fremont Rigby, ldoho 832t42 Phone (2os) zzts-sflt xt9 Fox (zoe) 74s-zl1l
Pleerc Gcrnplch ALL Apptlccbte lnlcrrnotlcn
6-l-/7
Project Address /o4 S. 3rof /--)
Class of Job SayL/0 Sh<al
(Carport, Garage, Shed, Greenhouse, Arbor, Etc.)
NewE Additionn Replacement !
Owner or
Lot #
Gopy of permit shall be displayed on site.
No construction equlpment shall occupy a city street.
Setbacks:
Front
Back
(min 20 ft)
(min 10 ft)
Left side (min 5 ft)
Right side (min 5 ft)
K<
Block#
.. Attach plot plan specifications
DiviSiOn Of PhaSe_ state the above is corect and I agree to comply with all applicable
, City Ordinances, City Zoning Laws and, State & Federal laws,
Address:
/rla 4a ?.^ /6 /C E? E6 |
Phone:{.P3' ?dJ aContact name:/Jaa dz I /
AppraisalValue $ /6/ FQb:"
Deed or proof of ownership submitted?yes_ N: ,(Attach copy)
By initialing each item, you agree to these terms & conditions:
,/t/1 Any damage done to the city infrastructure during construction is the responsibility of the applicant or his agent to repair/replace.
q--
4
I
lly urolnances, UlIy Zonlng Laws and, State & Federal laws,
contractor: 1 z aatrn B u, )./r*1 (cr rp
whethergogcine'J;i::J:;ts7;;,e
abt-soo14zi:Eson any digging-{', , Lue,a.4ru#
' r overa?ichdeoth. a_..8,, t1
or Agent Signature
*CITY ORDINANCE 9.1.3 COMPLIANCE WITH AMERICANS WITH DISAFILITIES ACT
NOTICE: All new construction of commercialfacilities and public accommodations as defined by law must comply with theconstruction requirements of the Americans with Disabilities Act, as such Act is amendbd. (Res. 21, 1-3-1995)
PLEASE NOTE: ISSUANCE OF THIS GARAGE/SHED PERMIT DOES NOT INSURE CoMPLIANCE WITH FAIRHOUSING LAW AND/OR ANY OTHER LAWS; NOR DOES IT GUARANTEE PROPERTY LINES
Permits expire one year from date of issue. No exceptions.
thcw belcw (fcr rtmpte ltructuret) cr cltcch Plct Dlcn rhcwlng erl*lng ccndl31cnrr plcnnedprcfectr, & retbcchr wErfDffEttrot{t. Dercrrbe }he rccpe cf Lrh.
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Done NAnn
12 00248
104 S. 3"d 'W.o Rigby - Garage Addition
Routing:
Quinton owens (Please review by wednesdayo June 6)
Please complete the following:
Done NA
X U Review Plans
r n Enter Notes for the applicant under Submittals
X I Update status in the Approvals tab
r x Return building plan and this check list to Amanda Saurey
Notes:
923 -7b zo
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05t31/2012
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