HomeMy WebLinkAboutCONSTRUCTION MONITORING MAR 031
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Date: March 5,, 2003
STATE OF IDAHO
Fax Transiniftal Sheet
To: Construction Monitoring
Fax: 877-777-5781
From: City of Rexburg
F.O. Bax 280
Rexburg, Idaho 83440
208-359-3020 - Ext. 313
208-359-3022 - Fax
Blair D. Kay
City Clerk
RE: Weekly Building Report
P.O. Box 280
12 North Center Street
Rexburg, Idaho 83444
Phone (2Q8) 359-3020
Fax (2b8) 359-3022
e-mail rexburgC@srv.net
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aPPLzcarloN FOR 8UILvLvG pERAUT
CTTY OF RFiBIIkG, ]IDA -HO
Dat.-
0-" NER
Site Address
Maifing Address
City/State/Zlop F
Telep-honejTax!Mobile
CONTRAC.TOR
f
Name
V"
-Malling Address 7 X,
C'ty,/Statel .1p
T el ep h on e..,T- axAmob 11 e,
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PROJECT IUNT2?�;�A�T7�ON
eel
DEPARUMENT,UPR OVAL
A — —
It IIN 0
-rroperW, - _.stmuse c-ompatible nth zoniner 9(Screenma parking, etc
'When was this bu'ld'nar last occupied
Bch ftect/ Eng iaejek-r Firm Plan Name
Subdi-vi'sion
Lot Block
,Circle One esidential `C*ornmercial Educational Govemment
Remodel OtbLer
Es :id e Ln7i
Circle One.
New House Add
Li t i oln T� S,
lfiom'Riemodef to House Tew Gonimerclial
Commercial Remodel
Circle Ong: None/ nfinashed
Lot Square Footacxe Fffilshed U Other: None/ 'Patio/ Carpo ATNming N/A
Lot Width
Square Feet Gary CF Square Feet
\Tumbi.:,r of Stories Height of Rai IdL'U
me
'What Will strac7mr-t-1, be used log-; Home Business A
partment Con-rnerclal Other
m ill there be an apartment?
A�
rrn+.l
If so ow many units
Signature 'Apph
teant f
r, 43� Ir- 97%471 �p 47LI Ir,
CLA ;a
Fees, 7 7W
Zola e
R
Plan Check Fees 24—
Buildin(DrType CIUT%,-!` OF "B. UR Q
1 Plumbing Perm -it cks
mcvlp -1 t
PAID 10" AS H- $
r. P, F0
Sl,crnature of 1pe
UY
Digi mg Per -mit Fees
Water & Sewer Fees
Front Footage Fee
To TALL $
N
1
Date of -Application
APPLICATION FOR BUILDING PERMIT
CTTY OF IFEkITU-RG, IDAH6
-"WE
'V
NJ am e rb
r &
Site Address
Mailing Address
PC,--mlt No.
City/State/Zip
COINTRACTOR
7a-
Nfifflng
/ 0
AA
city/state/zi
Tel hone M-lobile
PROJECT J--NF0RLLkTT0-NT TT
IAPPRON,7 'AL
DEP,�Rl IEN
Property Zone.- is existing use compatible with zoriin& (scre�n*n a'pa Ing
etc)
)Vhtefn as this bumsna last occuplp,6d
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xigineer F'
Plan Name 51?0��
Subdivision -,-Lot Blo&
Llircle O Residentia
Commercial
Educational Government Remodel Other
C'r C. 1 e 0 n e,' 10
ew Ho U so Adlit' i1jRe,--Lnodj%f-xoI to House, New, Commercial
N
Comrnerclal Remodel
Otl
Circle One Basement- nei-' Finishe-,d /I
Pat''o/ CarpoTtl Awn' lff On,
of Square Footage (5
Lot Wiclth__
SquareFeet
Garaale, Square Feet
-Numbf.2T of Stoniest of ]3u'td'
'"'hat W1
stmotue be usedfor: Home HoiTie -Bursiness
aftme-nt Commercial Other
'Will there be as apartmAant9
!t Irly ilUCULY UUILZ;
Are you in a flood plain
if v
Total Estimated Cost -14114;
Signature of Applicant
Code
Buiddina Perm't Fees
Zone 3
Plan Check Fees --?
li>
Buildincr Tv
Ju in Permit
D i
P;M low% nor Permft
Fees
t tj z 6
2
ewer- FE"'Ies
Fronitl Footage Fee
Clm'Fy 0- TO TAL -S
Signature of inspactor
Issued by
576 o
Date
of APPEcation
oa-��
-N am e
5ite-Addresg
Ali�iRniill Address
APPLICATION FOR BLZI.D1N G PERM(T
CITY OF kEXHUItG, IRAHO
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City/State/Zill''
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MI'diffig Address
CHy/Stat
ENTOR-UATTON DEP-,kR.T_NffiNT. iiii,
_kppRo�rTAL
Property Zon e --
W Is existincr use ra_t-bje.,th zo
(Screenlngparkin6 ALtc)
Whel was Reis bulldliicr Jas
rm
rr -Plan Name
Lot
............... BI(Dc:k
L- .................
One Res idea
-1iap Commeial Education�d Gbvemi- m. -I: R- emo'i
��T �q �'e
Add'tionaemo el to Ho
C1
JlCommerc.,yal
JN Ill
comillel
Circle i one/ 'ael
< F n Is h,% zz, d th
C' eF- NOne/ Dat Carp c) rt/ A
Lot Squallim Footaa
Lot Width
lill quare _v eat i cTara c s q uare Fee
9 V Number of StOTI
�7hat
-VNII tru cture
e_.) _10MO B117siness Apa-�tment Cora
Hom T
I erc:ial other
Will tern be an apartmentr?
Y S0.1y how many Lmits
El
Total Esiiii"m�telid Cost
A -re you in a flood p1,aM
A
of
It
Code
Zoiii
ildmiii T
-Signarm-e of Inspector
issillit by_
Ra Id'-ncr Pe,=t Fees
31
Ply Check Fees
4
71
Pium-bi
Piciiii-t-.Fices-
Diggring it r
&
ewel,
P f0iii FID o+,ag4:�� F ri
%wr
TO T-A.T, S
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a
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a
ir
El CA F110—N FINk
BUILDLN,
G E
RAUT
Cr
E �RGJDAROff 0IF'RE. J J
i.
!°
Date ot"Appiicazion
0VWFRv _
Site Address
ilm_.cAd&s `
City / to/Zi
ale/ail h
Ci
a6,€ ,
aTa
`- -e 1
tik)GFIk
mak
CONTRACTCIR
T
ram -
Mailing ydrS
i/.'al F
h�
I eP h 0 n eJ ar,.M _
d _
PRO �veT
DEP-��N APPRO
Propefty Zone-- —Is existingUst compatible lth'(screen,
g g, eta
-
JL
Architect/ Engineer Firm Plan Name
SubdiNu`sion
Circle One Residential E ducat'Lot Block
i r,.al Gov ernwentiCb--
Remodel s, -,I
i e W b.WF,
model to House New C r I emool
Circle One BaseBrit: -N-cyne/ IFin'shed Urrfinished Other, -LNonej Pati0i Cacport/ k.wnlng NZA
Lot Square Footage'-
. t Width
Squart` F eet Garacree N F
b�r Of StoriesHel!zht of
ill'
stmoture bz6z-. used for: Hortle Home Business Apar=t Commer
claj other
NVill there be an apartment? If SO how, many units
�..
T� e I�'J`� T y J+�
f e V r"ii ' '! C ; —'_
,-5` lam' i'4.•�. fit' L+I�G�,.5,y,r'rgh�' e
Jh
r
S 1 mature o1FApplican.,
x
Cnrje
Zone
BufldincF Type
SirC:kr zxr
CASH
CHEC
TZ 4 ;�F
'Dian Chckckc Fees
Plumbing Pc= -t
* 4t _Fees
TaTr & S yes
TOTAL
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APPETCATION FOR -N G PE--;-
BLILDE RAUT
CffY OF RE.XE-URG,, IDAHO
e
----------
SfteAddre
Ivialling Address
Z�
City/Sta
IP
P
_NT
ame e SGT
Pest _N7o.
t7�
MM111g Address I ar 4 loop
City/StatellZip 1.
I I- EII;W "n
=1r���
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PROJECT D'�FORIVATTCNT
ARAN ,APRO VAL
Is e>dst v
')7 C()MPatdb1e _VT�'�th ZO (scremaing pazkffio- etc
Icia was -C-n`s buildino-
last occup'ed
HFJ
. .................... 11 ............ I ...........................
Plan Name,
-91
le I,- , '. _,, ? ,
TI I OR
Lot
LAT-cle. 0
-de
Resi att
al E du cat i o ri�l
Goveml Ment R:2:mo el Cqhwry
r
Q
r� ,
Hou S 67 di
toa
L�R
11) OL Cle I 'to -tio us INJOW COMMerGial
G
R -rcle One
:�-=�� } d
Otherp, None/
patio/ CaiporU
NL /A
Lot Square .Footacre
Lot jath
OF
quare P eet Gara'-I'le Square Reaet
bt=160ir OfStc-Lies
I Ing
..... .. H=-io-ht c)f Bu'fd
T F% 4_5
Yv i1a, be, usln&
Home
L,�Ilome B-usi
ness -A
eft Caj
partmG_mmc
L _TM Othe,
-herj!:-, be a
n apaftmeat?
N eel
N_
-nits20.
TOtal Estim�ted Cost
Axe
YOU;4n a:Rood plain
_--N ---------------
I cm ature. Of App I
scant
M 6_/
TTI
Code
aaiwing Permit Fees
Zon
pq
AD L
Plan Cheak Fees'
Rdincr Type
PAID CASH $
.S.-ignaftii-t of Inspector
I
,ssaeid by
wiggangPermit
Se- ei, Fe- es
R-iont Footage. Fe,
TOT,A
i
Date Application
�ame�
4IRPLICATION FOR BtUDP�G PE
-3ow— 1 R -NUT
'OFR M,
CFry LRGI IDAHO
-fit .
T L
W Statei'Zip
,.
el t r
vP -3
_E�-A-CT
NT=
Mailffig Adchress
4f-
4-
city/S3
i
T'ld� ```
PROJECT LN-FORNENTTO
�pON
R�a -
c ate bl
. ree .0- etc)
r.
t' d'o- last c _
y r
Ani. t�r r
Plan -N-Tame
}
ell-
Lot
Block
-rde OnaResI
Ciro R. Other
Ada
-_d 'to
.!Commercial
Circle One, rc)ne/
Commercial R c, 41 .
Y
rIfinished
r. n / jj , Camortj
Lot Square Foo i
Lot'�Vj dt
zo
quare Fit
urnb,erof Sto
Hei+o-ht
- I
stuctuxe, be u
!I 1 a
t C erl j
Will there be anapa,-Ltineat? Othei
T many
Total -tat Cosi
F �
-1-Te VOU
in a flood plainw
k
3.de
r
,A�i)pl icant
I'l Tye
MMAM
L
FY
ll ding Permit Fees '7
J-Piaja Check Fee
.
P r Ii -LL?t
Perm --F
& ewck
nT
.`{� -
BURG
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STATE of Iaawo
Fax Transmittal Sheet
Date.- March 17, 2003
To: Construction Monitoring
Fax: 877-777-5781
Urom: City of Rexbur::
P.O.
Rexburg, Idaho 83440
208-359-3020 - Ext. 313
208-359-3022 - Fax
Blair D. Kay
City Clerk
RE: Weekly Building Report
12 North Center Street
Rexburg, Idaho 83440
Phone (208) 359-3020
Fax (20$) 359-3022
e-mail rexhurg@srv.net
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Date of Appiication
0 A� WE R
Nam e
Site Addregs
Mailincy -fid dress
ATPLICATION FOR BLTMDPq,G PEO RMIT
CrrY OF R-EXBU-RG, JDAR. 0
av 71
Permit L 'N TO. — (} � ` � 3 --� L(
D,7
Stat /Zlip
Teleph
oneyTaxWobile
Name
h'lingA&L-ress
PM4
City/State/lzip
Telephone/Fax!Vobl' I e
PROJECT L_N_F2BLA4Ajj()N
DEP,ART m E.N7r AppRovAL_
Rropertyzone- C
tIng olli-. 'ble th zo
4 Is exIsuse compati "�Aq
ning, (sc-rca-rening parking, etc) I
_7ZZ
en wa-S this building last occ-upled
ArcHitect/ it Fig
Subdivision --Plan N- ame
Circle One ResidetI.1 0
.M7r —Lot Block
_MM9Kd,aI---) Educational
Govemmletnt, R-emodal Other
Circle One Addition/Remodel to House New Commercial
<rOMMrci
onlinercial
circle one B a s,,=,, m e Finished I/ Untfinq hed
Lot Square- Footacge Other: None/ a- 10/ CarpoTt/ Awnm. MIA
Lot Width
Square Feet
GrarCY
azDe Square Feet
Number of Stories Height of Ruildin
WI 'f
'What *11 structue be used for: Home Home Business _kpartnient (�ZCOmmerccaial�_
Other
Till there be an apartment?
If so, how many units
Total Estimated Cost
-Are you, in a 0 plain
flo-d
Signaturlk
cant
Code
Zone
Bum I din cr
Typ a,
rg:" of Inspec7tor
RR
JLi
Pe EXE3U
grMt Fees
PI
an Check- Fees
MAR .5 2_0
i Plumb ffig PCIMit Fees
i
Da2lna Permit
PUD' %-I- -
CHECK &S--
4±1
Wo
er ewer Fees__
From Foota�e RCLe
TOTAL S
Date af.Appiication
Name
Site address
Mailing Address kf
r
CI
t t t/ o f
Tel ephone/FaxWob11eL___
CONiTRACTOR
Name se I
, �-r
*ti
APPLICATION FOR BUILDING PERMIT
wiling .Address S, 5,v
CitylSfatelZip-- L4-CmI.-
Telephone/Fax/Mobile
PROJECT INFORMATION
}
ka
2=06 -W -F �_A'N NIL 170 191-4110 ILEA
Permit No.
DEPAP.TMENT APPROVAL
Property bane: M D aI existing use campatiblew�€� zoning, screening harking,
When was this building fast occupied COA I
Architect/ Engineer Firm_Plan Name � � � S , 5 -ii– LOD ;
STIbdIV35IDIl
mat L-4 c� Black
Circle One Residential Commercial Educational GoUernment Remodel ' fJt�er `" �,;ie.r �- - �, � ;1 ���
Circe Qx�e New House ddi�ianlR�mad�l to House .��° New commercial `�7�i�odel
4� � `�•`'.v`�
- - Commercial
Circle One Basement: Nanel,Fznished / nfi�zshed ether: 1Vanef Patin] Cert/ Awning �'rT
Lot Square Footage 19 1 9,A Lot Width r
Square Feet b
(60 0 Garage Square Feet "6L, Number of Stories Height of Building -rvK
V4'hai wild structure be used for, Home dame �3�siness partD.en Commercial ether � ------.�
Will there be an apartment? ,e 5
IT so, how many units L4� v\'i
Total Esfimated Cast 0 Are you in a flood plain �
-L 110_�_ - C) C,5
,
19natureApplicant
Codi
. BuilPerm din Fee
done
Building Type
Signature of lnspecto4
Issued by —
Plan Check Fees
4___
p
MAR lu bi t Fees Z�_ ro-,
i a ing Pit Fees
.� Water Sewer
0
Front Footage Fee
TO TAL _
Date of -Application
O)V-NER'
Sate Addxess
Maihng Address
cit
Y/S-tat.e/z
�Ip
Telep,hone/TaxlMobi-i
CONIR&CTOR
-Name
Mailing Address
Cit3r7lState/Zi
P
Tel ePhone/Fax/Mob ile
APPLICATION FOR BLIL.D��G PERMIT
hL 4
PROJECT L.NFO&UL-ff ON 'PARTAIEN7 AppROVAL
DE
Property Zone,: is exlstlnc-)-use compatible, with -zoning, (screen' parkjn�� et
When was ffil lding last oc-.cupied
Axchitectl Engineer Firm
C -a
Subdivision
I ID
clircle One
riwai uo
0Zez;TS
ercial
W
Educational
I
i, Narne.
Lot
.5 Block
Govemment Remodel Other
New House Ad 9itiortT-,,-ej-Lno del 4t -
a ,L) Commercial Commercial Remrirlr-1
Uirale One Basement:Qc)�nlL - ished/ U,hed
jjD/ FM I Other: None/ Patic)l Caport/ ANNMM4Z
Lot Square F00tacre
Sqcare Feet 3;Foc;I-�ageSquazeF
NVnIl Structure be, used�for-
at %a Romf:�
441w- Lot 'Width
Number of Stories Height of Building
Home BusinesS Apartment CYmOther
�m e r C i na I
01
Wriil there die an apartment?
If so, how many units
Total Estimated Cost. 4P
V2:7t— Are y6 -U
------- a fl oo- d plain
3 7
sima'tulm OfAPPI
Code
B '1 d
U, Lug Pemlit Fees �
Zone -
Plan Check
T
i 3'of Inspec�tor-
Issued by_
FW�IN►,� e
CITY OF, REXBURC
'L�'Iumb'-P'4
9 Fermi t Fees
D'ggin,cr Permit Fees
ell,
er
'"Tdt & S 6* e r- Fees
sj
I
0 4d' C 01
ZT'� --.r
.0 U(J)
d0b
Front Footaa
TOTAL S
42,1-L-3
N/A
of -A-p-pilcation
01,!I_KE�
am
Site Aess
MIL,aif cr Ad
Cit7/StatlD
Tel eph:on ejTaxjM.o b I e
Coif
AfaiEng Address
City/S.tat
Telephon,02,TaxMobile
PROJECT LNFO
I _ff
kjNM, _N7
T- APPROVAL
Propta"rty Zone:
use co-inpa-t-ble
I
1A."th zo
_r,elllng -Darlo,_n(grL
1�"'nCn was th's bulIding Iast Occupied
Arclii,ect/En inecqr F*
L
Plan Name
Subdivision
Lot
3 n e 7__
to
eside- tial ...... Block
'don "a!
L-71ircle Onk-e
Educational
1ECT'n, Remodel Other
zjdl
CN LALj tiorvRemo
to House
NewCOMme-rcial
Circle One
Bastn"Ment- one/ Finis ha,
No' ati -/A
ne/ P D/ CarportJ A -v
Lot Square F0 9tage, -c r
N
Lot Wjdtj2
Square —eet
ivla- - }
s;tuc;tL7_re Scruare F,,Qet s1a
'
-
ildiVt
n
be
1-ness -kPal-tment C Other
Wi1l there be an apartment?
so 11 ovirrLoLany
rMIS
TOW Estima-ted-Cosf:
Are you in a Jloc)d plain
Simature of kppi
icaTit
IT -
0C
Cod, *
Fees
U1 C1Mg P
Zone
A
-B olding Ty Mau Check- Fees
pc�
Plumb 7
Ln 9 P 2 lrr-n t P e e S
&
F
ar
FT-C).UtFoGtage
L X,
TOTAL
Sl,gzature Of Izls.pector
TZ, J
-ALPPLf C.-ITIONTFOR-BUMDINGPERMa
CITY 6FRML1iG, IDAHO
Z-�
Remit N,
A
Date: March 25, 2003
STATE OF IDAHO
12 North Center Street
Rexburg, Idaho 834{]
Phone (208) 359-3020
fax (208) 359-3022
www.ci.rexburg.ld.us e-mail Rexburg@ci.rexburgJd.us
Fax Transmittal Sheet
Tom- Construction Monitoring
Fax: 877-777-5781
From: City of Rexburg
P.O. Box 280
Rexburg, Idaho 83440
208-359-J"'020 - Ext. 313
208-359-3022 - Fax
Blair D. Kay
City Clerk
RIE: Weekly Building Report
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-ARTIV` APPROVALt.
_
Property Zone=- -
'3=- USC compatible,with rrgkenjn�,r parkinu L
c;)
VIIEM as finis -IdArOlaslast oc;cupled
r
e t rehearFirm
jo Lem,
�0 -
Plan-NameSubdivolsiDn
- F
r Lot
- Block
i n _Z__
-
il ducat I
Te vv Tro US
Addition/Renrio 0
New C_r4 rv
Remodel
is e
Squ'ane Footage Offir-r None/ Patio Car-pcvrt/ Ai�n N/A
Lot 'Wide
'Gal'aZO Scruare Fees
umber of Storiesorht of - y
.7W,hat -MI1 Structure be usecl 10T,
Hoine
e•
_
Apaitment
C0111meR."al, other
so f1ovv any
Total -
- 1 Are 'G foodIain -
ato
- � r
Y
r A_ppIt e
di T,'
' ";D P s
Zone
ox:
au ,
o
k-
JFee
lumfficr Permit t Fey S
DiggInC7
F es
_ d
g
e
FooiaggLa .
`•. �
TOTAL
Y J
7 ar e f.r
f
IQ
Isu
Ji
r
Date of App -0
]I. Caton
OM:-L��TER
Name
APPLICATIONTFOR-BL�,DPV G PERIIZIT
�iTY 6x'ItMUIFG. II3AHd
S;l*fy
te Ad&n-�--ss
Alai I 1- 11 CV A d d e Ej -q
City/StateiZlp
t
N
-permit
CON R
["T
I,am'e
AfaiHqgAddress
CitvAStatiOL
N.0
)44
L 41
TelePhona/Fay,Mobile
PROJELCT T-N-FQ.E
T�O -,Ny DEPARTMEN-T AppRO
AL
Use
Property Zone -
ng Use compat,lble �Aith
-kn
zOJ2
(s GTE)eilingcr-
Ild-na last occupied
W heI1 was th S b -u I
Arcb�tect/ Engn-oc-r Fid
P1 an,Name ILI' III,
S. U r
jr
Lot
Block
r&
L'IT Cie On R e Inatal a Commercial Educatio
nal
Gv.4nt
C' rc. -p' TV7- t -P Reznod%c-.J Other
dd- &On/Rel-noel to Hous.%., -New Comm e-rc-1 al COMMe'rC 7
-ii -t�-r_%I Odel
a em
Circle, One Basement- NIf
one/ FM'Isnq�
None/ o
Otherp. Paticarporc wuLng
N/A
Lot Square Footag-e Lot TA71 L
.6dth 9,:�) -.
S q u Ga,.,
-aare Feet N -Umber of Story r
.ge Sq t -L
les Heicrht of Bu'ld"
Wfiat vl�qil -qtluc, I
zo.'- i1c) . ...........................
tuxe be used
me, OM'C Business Apa-
_Llt Commercial ()then
.Will there be, an apaztmeat?
II- many uomits
Total EsdmiteJ Cost
-Axe -you in a JJC) d plain
�-7
,=ature of Applicant
� %L' -T- I- .r --
C d
'nG B ul- I ding Permi t Fees
c®�
f'I 7; V U
Zone
t. 7czl 7-Y
U
fieck Fees
-Plan C -L
n
-JI uildin,cr Tyj)e
f- FFq.
P1 Umb,
M Pennit Fees jC
Nit A "r,
Di
ggmIgr Permit F%-rIIII
&
(D
11) ewor
r 2
I C31 Pt
r ort F0 Otagf'- w
r-l"IOT-AIII-L S
112-
61,07!aft-lre, of-' TnaCTOIT-
S-P
is Sue d
.1
Date of
P1
110ation
Slame
Site dd
1�faiimc7Ad
cit � iz ID
T,E 1w I e p h
o -a axi'M o b I I e
CO:-�LT�R,ACTOS
N -Tame
d -r ss,
7.
Citv,'-State/. 'IP
Telephone/FaxiMobile,
A-PPLICALTIONK FOR, BL�DING PER�VIITCITY
I'L If_F.FBL'RG, MAR
G'�it -e <3
if
pfzmit -NO,
24�
I
PROJECT ENFORNIATTO, T
DEPARTNE-N
TT APPRU�7
PrODCTtyZone- T
cx1St1n,0,- -use 0 omp atim b I e w"I th zonm C, (S creen,
mg ki eta)
1XIben was finis building last occupied
Archlt-ect/ Eng'eer Firm
Plan Name!
SubdIVIslola
Lot
agGo-
CIrcle One Res'
I entia Corr) rnerciai Educate vemment
Remaodj,:24 Ofl
CLrcle One:
-Aidditi=/R-emod " to
commercle
Commercial Remo (Jul
C'role- One 13asement- ND.Lqe,
T nj&
lnisf� d Other Noinel patio/ Carport/ A-vVnIng
Lot- Square-
. Poo
taor e 1-
Lot Width
L>
um b er, of -Stor lie -6t of BuUd-
r I vy -1 -t -�il U Ll t-; L LLTt D e US e C1 J:C)r- e
0
Ho Home Business A_pa-jtment Con,,In
A)7'i I Other
ere be an apa
-rtment?
T f
L -
TotalEstimate ----------
d Cost
Tvu in a Eood plial-a
L
Applicant
qz
it Fees
iT.Y'O;: R1 E.&! ---r, U
Plan Cherk Fees
Building, TT
Plu' b
MAR 0 H 0 3 m mqD Pen -3 -ii -j- Fec�s
7 � �. .
Digginz Permit Fjmas
PAID CASH $ w�_..
&
/7 - .d
CHECK$ L.3" ewer
Front Footage Fin-,= TOTAL S
Issued by
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