HomeMy WebLinkAboutMULT DOCS - 13-00138 - 167 S 3rd W, Rigby - Porch Addition@j'r,oMcch.o,r71&
Inspction Request: Rec'd By '4^' *.L *t'I /3Q.
Phone no. 315 .-
Req.BY K.2JL\. ,l^/ir "tP""z ''
. 0 --l^ LJ;+; ^-il:^l^uPerrnit No. 13 * l3g
INSPECTION TICKBT
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Projecl
Address
lnspction TYPe
Day ffime Req.
lnspector's RePort
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rliSpeCfgO rfef',|S CONFORM TO APPROVED DWCS
INSPECTOR'S ACTION
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ACTION REQUIRED:
N DISAPPROVED
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DDID NOTINSPECT
Rec't Acknowledged
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COMMgRCIAL & MULTI FAMILY BUU-PING PSEMIT ATPLICATION
35 Nl t" h,. REXSLiRfi.ID 83440
208-3?:-t326
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$L.BDI\.'iSION:uNrT'#-*BLOCK#-.r.O1-#
r* based the information - must be accurate
I low manv buildings aref located on rhi$ properttr'?2 - I\^/n.
Dicl 1'11q1 rccendy purchase tlris properfi'? F NO If YE$
ilf 1'es, list previous #wner's name)
I s thts a lot spllti $ XO tl YfiS {Please brirrg copr. of ne'iv lcgal ciescripdon of pruperr}')
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;\ PI)LIC,\N'I"S SICNTVI'LiRH., CER'I'IFICATION ,'\ND AI-ITI IORIZ,{TION: irn.t*, p"n*r1 ,rp*jur1, r hqrrb' curdr' tirr: r
mal rtvolie a
Plcasc Complctc thc liutirc '\pplicarion!
lf thc qutstirxr rlnt's nct apply fill in N-1 ltrrnein applic*bk:
CONTACT P}{ONE, #
T}ROF}iR'IY ADDRUSS:
PI-roNH, #: F{ome 1AF" X4(:f4?4\\Iork Fc*rr zo8 3rte- (azz
1\L{II-ING .{DDRESS:
LihL.lI
APPIICANT; (If t:ther thar: ur,.ner
{-lppircnnt if other rhan orvner, il $faremcnr a *pplir'-rnt tu acr a$ aguur ior owner must :rccompan! tlus applicrlrion.)
APl'}LlCr\N1' INFORI'1,{.TION: ADDRI.]SS
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PHONE #: I{ome
CANTRACTOR:
NfiII,IN:(},\DDRINSS:
IIIIONH: Cell#\\,'ork#Fax#
l,ilr1-{IL_IDAHO REGISTRATION # & ilXF. DA?H
ir: rhc a6nliuf*rin trr tur
issucd urrdcr thc protirions of rhe 2t)01 lntcrnadonal {}xle in cls+s of tny lalsc staremcnt (rr misreprcsrntittitm uf facr
ur apptrlal wa-r bfiqtd. Perrrrir r"rtirl if n$t *tfftlld r{thin 180 d}}'s. Pcrnir trid if rrork stops frrr lltl} da1's.
Slfrlilrr'rre oi ( hlner .\pplcanr
I)r: r'utr pr*ri*.r fo be contacred bv tax, ernnil or plrcrrer?
\T'A&NINC - BUII*DINC PEIi.MIT|iIUSTSP PO#TIID ON CONSTRUC'I'ION SITEI
Flen fttt *rt mr-relirndrhlt *nd erc pdd i{ futl rt rhr tirnt of epplicerion bugioning Imrq, L,2fl05.
Ciry of llrxburg': Acceptm{r of $s pllrr rtvicw &e ilrxr nut conrtirurt plrn rpprovd
Done
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13 00138
167 S 3'o W, Rigby - Porch Addition
Routing:
Ted Dye (Please review by Monday, April22)
Current Status
Please complete the following:
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Review Plans
Enter Notes in the Checklist under P&Z Review in the Workflow
Enter Notes in the Checklist under Building Review in the Workflow
Update the Result
Stamp Job Site Copy as Approved
Return building plans and this check list to Amanda Saurey
Notes:
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