HomeMy WebLinkAboutAPPLICATION - BUILDING - Lamoreaux, Robert - 990 W 7th Si
MADISON COUNTY
BUILDING DEPARTMENT
BUILDING PERMIT
DATE: q- ab -01 PERMIT NO: M, I O - d 5
LOT NO: BLOCK NO: SUBDIVISION:
OWNER
ur
Address: } bo 5. . "
City, State, Zip: &bury Zl) M--- qqc;) Phone: 0$ `1 -
CONTRACTOR
Name:
Address:
City, State, Zip:
ARCHITECT/ENGINEERING FIRM Ida. Lie. No.
PROJECT INFORMATION
Residence ❑Commercial DEducation OGovernment ORellgious
❑Fence ❑Patio ❑Carport ❑Garage
STRUCTURE
xNew ORemodel DAddition ❑Repair ❑Renewal
Total Floor Area: Number of Stories: Cc� Height of Building: a��
Sq. footage: q -3 ❑Unfinished Basement OFinished Basement
Located in flood plain:
Indicate Commercial TJ
Total Estimated Cost:
Signature of applicant:
Building Permit Fee:_
U.B.C. Classification:
Signature of Inspector:
Flood Permit #
/.T` ' cDa-�v
Plan Check Fee:
Zone: