HomeMy WebLinkAboutBUILDING PERMIT APPLICATION - Andrews Addition 2APPLICATION FOR BUILDING PLRNHT
CITY OF REXEURG, IIiAHO
Date of Application;
OWNER } �-
Name ��j' i / f t (off
5
Site Address
Mailing Address
City/State/Zip
CONTRACTOR
Name
Permit No. K- L' 2- Ds — I
10
Mailing Address
City/State/Zip_ �/�� �J'�12 Q
Telephone/Fax/Mobile r ��� � —5-21-11,S-6 /
PROJECT INFORMATION 70 _g816 DEPARTMENT APPROVAL
Property Zone: Dom— Ls existing use compatible with zoning, (screening parking, etc)
When was this building last occupied.
Architect/ Engineer Firm
Plan Name
Subdivision Lot
Circle One Residential Commercial Educational Government
Circle One New House
Addition/Remodel to House
Circle One Basement: None/ Finished/ Unfinished
Lot Square Footage
Square Feet Garage Square Feet
What will structure be used for: Home
Will there be an apartment?_
Total Estimated
Lot Width
Remodel Other
New Commercial Commercial Remodel
Other: None/ Patio/ Carport/ Awning N/A
Number of Stories Height of Building
Home Business Apartment Commercial Other
If so, how many units.
Are you in/ a woad
Signature of Applicant_
Code
Zone
Building Type
Signature of Inspector
iSSiieCA by
Building Pei nit Fees ! 8�
AIDPlan Check Fees 1 g , 4 7
�3 lumbing Permit Fees o2- ,
gging Permit Fees
" Water & Sewer Fees -q 7 7, 71
Front Footage Fee
TOTAL $ 5 Q Y Z