HomeMy WebLinkAboutAPPLICATION - 19-00686 - 1110 Golden Beauty Dr - Wilcox AdditiongEXB USG
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Rexburg, Idaho
Building Department
New MFR/Commercial
Building Permit Application
APPROVED PLANS MUST BE ON-SITE
Applicant
Address
Phone
General Contractor
Address
Phone
�lC-
Design Professional
Address
Phone
Property OwnerAddress,— lot�ctk UJ`;<<�f Q
Phone
roject Contact — Name, Phone & Email
General Contractor's Contractor License Number & Expiration Date
License Number r� I 1 sj Expiration Date o d
Site Address / Location
City
Zip
County
Description of Work
Total Building
Construction Value Total sq.
ft. of
o 1 ) q 5 project
I
n
co
sq. ft.
Applicant's Signature:
Date:
# of Water Meters: _ # of Parking Stalls: _ For New MFRs:
# of Units: _ # of Buildings: _
Size of Water Meter: — # of Dumpsters:
Separate permits are
_
# of Beds: _
Construction Type: # of Dumpster pickups ® Dormitory Housing
required for electrical,
plumbing and/or
per week:
Occupancy Type: — ® Non -Dormitory Housing
mechanical work.
9 (D
Permit#:
BP Fee:$
Received on and by:
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Rexburg Building Department
31 N 1st E Phone: (208)372-2166 Email: shauna.eaton@rexburg.org
Rev 7/8/2019