HomeMy WebLinkAboutAPPLICATION - 97-00004 - Twin Pines - Window ReplacementsDate of Appli'cation
OWNED
Name -'I', . �, : ,
APPLICATION FOR BUILDING PERMIT
CITY OE REXaURG, IDAHO
PermikNo.
CONTRACTOR
1
Site Address " "
Street Address
Mailing Address Mailing Address 9/CitylS#atelZip CitylSt�te�Z�p–���
Telephone Teone
� F
Archl"tect r Engineer Firm
Mobile Phos;e
PROJECI" IN FORMATIO
Legal Descriptim (attachcopy if n
-b5
.m
Ida.Lic. Nc�. -"
Lot No- Block
PFan I�iarne
Subdivision
esidence omni. Educational Gov't Rell"gious Street Address
Fence Patio Carport Garage ,Awning
Descriptio
i n Si
Total Fl r ,area
0
., ly
Structure
NewlItem adellAdditioti{RepairlRenewal
No. of Stories HeiRlit of BL1IldInry
Sq. Feet Unfinished Basement
Finished Basem.ew
What will structure be used for (including name of Bus',,�ess ifapplicable)
---..
If use is multiple family (aparltments) ]pow tnatly ttt1its- 6�7
..
5F�
Total Estimated Cost
sigiiaftire Of Applicant
�i-T fitmi -..l i. m.. m.R4iV
TF MT'IAF=m*`�.&&Vwi--;--. �'T W
Are you its a flood plain? Permit No..
� ■
UBCuseClass] fic a tIon j
BUilding P.Fees
Tax Code —Zone
-..—Plufning Permit I-1
Bul'Iding Type, Digging Permit Fees
a
Water
w - e
Signature of Building lnspector
Issued by
r
Plan Check Fees
I
Ink
m
v
m
n
m
n
4
19
[]R--.