HomeMy WebLinkAboutAPPLICATION - 98-00036 - Deseret Industries - CanopyDate of Application
OWNER
Name
CITY OF REXBURG, IDAHO
APPLICATION FOR BUILD PERMIT
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Site Addrcss k 2 5 � �"`
Mailing Address � �
C itylStatel'Zip �� � t� ��
Telephone/FaxlMnbiie � � �
CONTRACTOR
Name 1-" ir
Mailing Address
City/State/Zip
Teleulione/Fax,/Mobile
PROJECT INFORiviATION
P F!.- rm*1 t Nt o.
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Architect or Enbineering Firm
Ida.Lic.Nio. Plan Name
ease atttD ,
soazNy� Block
(circle one) ResidentiaiICammerciallFducationallGovernmentlReligious
Description C � �`-i �!� ��:�,.�.� i �-� ��� �-r�
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(Examples.., New ouse Aaaitio [I- ro-P reser t ao tise I Commerciai Aemb-de!)
Square feet. Na. 01, Stories Height of Building
Basement fsnishedlunfinished Garage sq. feet PatiolCarporfJAwning
What will Structure be used for (including name of business if a-opl-lcabie�-
If used for a multiple fam l.y unit please indicate number of units. -
Total EL5tiraaied Cost dwelling; be in a. flood plain?
Signature licant
FOR OFFICE USE ONLY
Tax Code
Build.1n,g Type
S,191-lature or Inspector
Zone �t•
Building emit tee
Z!:D -
Plumb'tng Pcr it Fee
Digaa'ng Emit
Linear Foot Charg...
Water & Se-wer Fees
Plan Check Fees 2,
Total
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