HomeMy WebLinkAboutAPPLICATION - 04-00188 - 641 Vale Ln - New SFRBUILDING PERMIT APPLICATION RExBURG,ID DATE t N0.
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
OWNER ���\,J.,^- ��p JOB ADDRESS (r��j (O 1�p(_O_A.Q_PHONE
BUILDER��/.._ ARCHITECT DESIGNER
STRUCTURE: pp NEW ❑ REMODEL Q ADDITION ❑ REPAIR ❑ RENEWAL Q FIRE DAMAGE
)tRESIDENCE Q COMM. Q EDUCATIONAL U GOVT U RELIGIOUS ❑ FENCE ❑ PATIO rl CARPORT n GARAr . n AuINI!NI .
FOOTINGS
FOUNDATION
BASEMENT
FLOORS
EXT. WALLS
INT. WALLS
CEILING
ROOF
HEAT
INSULATED
CONCRETE
CONCRETE
PARTIAL
WOOD
U WOOD
U WOOD
WOOD
Q BUILT UP.
GAS
WALLS
MASONRY
❑ OTHER
Q MASONRY
❑ O7HER
'B FULL
Q NO
CONCRETE
Q OTHER
Q MASONRY
Q MASONRY
rUy
,ipJiRYWALL
WOOD SH.
❑OIL
CEILING
LI OONCRETE
CONCRETE
U PLASTER
COMP. SH.
U COAL
FLOORS
VENEER
DRYWALL
UTILE
UTILE
LI FIREPLACE
PERIMETER
ETAL
U PLASTER
U ACOUSTIC
U ROLL ROOF.
U ELECTRIC
U STUCCO
UTILE
UOPEN
UMETAL
This permit is issued subject to the regulations contained in the Uniform Building Code and Zoning Regulations of Rexburg, and it is hereby agreed
that the work to be done as shown in the plans and specifications will be completed in accordance with the regulations
pertaining and applicable thereto: The issuance of the permit does not waive restrictive covenants.
DEPARTMENT OF BUILDING & ZONING
FEE PAID
BUILDING
INSPECTOR
WHITE -(timer's Copy CANARY-BulMing Department's Coli/ PINK-Assessoes Copy GOLDENROD -Inspector