HomeMy WebLinkAboutAPPLICATION - 97-00014 - Village Community Gardens - Garager it
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APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Permit No,
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OLNMR CONTRACTOR
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Name
Name
Site Address
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eet Address
Mailincr Address
Madol i'ng Address
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Tiephon
C) Telephone
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Mobile Phone
Architect or Engineer Firm -Legal Description (attach copy if necessary)
Ida-.Lic. No,, -Lot No, Block
Plan Name _Subdwision
Residence Comm. Educational Gov't Reiigious Street Ad&
Fence Patio Carpo
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Description Structure
N,�ewIRemode IlAdditiozL'RepazrdRenewal
Sign.........Si. n Size Kind
Total Floor Area
No.. of Stories Height uil or
Sq. Feet
Unfinished BasementF' ini *:shed Basement $ _� _ ,.
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What will structure be used for (includimp name of Business if applicable)
If use is multiple Tamil partments) how many units
JOY
Total Estimated of
U7� Are you in a flood plain?
Sicrnature Of Appl- 4ci .
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UBC use Classification
Buticim a PprmTt
Tax Code Zone
Pluming Permit Fee
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Sicrnature of Building Inspector
Issued by
Diclaing Permit Fee4
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Water & Sewer Fees
Plan Check Fees
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Excavation &
E a r t hwork ; r"'r4
Concrete
Masonry:
Roofing
Insulation:
Drywall:
Pal"-nt'0
Floor Cover i5
Plumbing:
Heatj".ng:
Elect
ri.cal
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Roof Trusses:
Floor
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SUBCONTRACTOR LIST
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SPECIAL CONSTRUCTION
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(MANUFACTURER OR SUPPLIER}
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cabinets :
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Siding/Exteriox 'Trim:
other
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