HomeMy WebLinkAboutAPPLICATION - 03-00004 - 860 S 5th W - New 4-Plex Units 28-31AT�
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ING PERMIT APPLICATION REXBURG, Io DATE /-r �- N No. A��-��-�r
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AMD SPECIFICATIOMS,
OWNER , �� �r, � .w�. r_ L r eno ■e.w......� f
STRUCTURE:
s _
ri R r7J r);=C
NEW
- 1 O o ULJ"E
J REMODEL
ARCHITECT
A,DDITI L)RE-PAIR
PHONE
DESIGNER
GOVT T Q REUGIOUSJ FENCE C1. PATI
FOOTINGS FOUNDATION CARPORT CIoAR E . AWNING
BASEMENT ��REST. LL
INT WALL CEILING R P
a CONCRETE CONCRETE Q PAR - HEAT INSULATED
QD QD 0D C) WOOD
RETE J !�'ICIMASONRY[� DRYWALL J BUILT UP. C3 GAS 0 WALLS
I� TI--rEU OTHER J �V Q TI-�E� '+'� I�. � ��
� CONCRETE � BETE Eiji
LIVENEER DRYWALL L) FLOORS
TILE U TILE FIREPLACE
PERIMETER
METAL LJ PLASTER Ll ACOUSTIC
Ll STUCCO IJ ROLL ROOF LJELETF�I
TILE PERI U METAL
L
This ren it is issued subject to the regulations Contained i
n the that the work to be done as shown iformBuildin Code and ZoningEde Mations of
in the plans and specifications 'III rn i t and it is agreed
pertaining and Iasi t � a r� r�� � the regulations
p thereto: The issuance r � f the permit does not waive
REMARKS:
--. g--%..1 ■ rKi 1`■■ a %01- Ja"II-uIfv" &%f "r ( arut FUr:
VALU
FEE PAID
BUILDING
INSPECTOR
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PINK—Assess&s Copy
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APPLICATION FOR PWMBING'PERMIT
Name
Address T I
1p
Lot B11k. Add.
PLUMBER
Name
Address Te I
Use
—PP
Rough Plumbing Sewic Teak
Fixtures ' 'ntpr P*Inin
onplete Sewer
NATURE OF INSTALLATION
DESCRIPTION OF WORK
FEES
Plumbing
Permit q IP I V 0 b M $
Sewer Ins ion .. Y .. ..... ; . ....
Inspection 4J Pi p ` Y ■ ■ ■ ■ ■ i ■ ■
0 0 1 M a a $
inspection f Fixtures
I F F ■ 4 • F F i ■ ■ ■ F ■ ■ ■
TOTAL
Ji
Received' Date
By
INSPECTOR'S RECORD
Bath Tubs Urinal
Showers Sink Trap d;;ITY OF REXBURG
Laundry Trans Water Heater
Wash Ba:sin Other JAN 1 7 20041
Tbilet PAID cASH $ S
Slop Sinks CHEF
Kitchen Sinks
�Y
Floor Drain
Drinking Fountains I I Lawn Sprinklers
Water, oftener
Dish Washing Mach..
Clothes Washer r
APPLICATION, FOR BUJILDING PER -MIT
CffY OF RMLRG
Date. of Application ' E
01VINER
Name �
Site Address--- � a � 5rr, � I
Mailing Address Z./ 21 l - F 0
City/State/ZiT P _ A
Tel ephonerFaxfMabile c
CONTR-ACTOR
Name
Mailing Address
_��
CitylStatelZip
J-
TelephoneIFax.N.Cobi.le 6eo
PROJECT IlNFORMAT`IdN
ti
Permit Na.
DEPARTRTF,h'-T AP-pROVAL��
Property done= A*e;� Is existing use compatible with zoning, (screeningarkzn parking,, e
When was this building Iasi occupied
�
Architect/ Engineer Firm -�-�
S.-ubdlVisl'on )-?0 e- �A. 4
Pian Name
6a
7
Lot Block
L"ircIe, One Res�d�ntzal Commercial Educational Gvvernment Remodel Other
G�rc1e,4ne New Hous -Additz
on/Remo del to House New Commercial Commercial Remodel
circle One Basement: one Finished l Unfinished Cather: INTonel Patrol CarpoftJ Awning SIA
Lai Square Footage., - Lot Width
square Feet 3 -� 2 4" Garage Square Feet Number of stories Height of BuiIdina
- 5!
What will stracture be used for-, Home''"
Home Business Apartment Commercial Other
Will there be an apartment? Tf so, how many units
Total Estimated Cost Are you in a flood plain
Signature of APPE cant
Code +
Building Pest Fees
. V 7
Zone %/c2u
.G
Building Type
PAID CASH
CHECK
Signature of inspector
Issued T
Plan CheckFees
Plumbing' Perm it Fees
iirw Permit Fees
Wr & Sewer Fom-
"Tont Footage
TOTAL S6 F
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