HomeMy WebLinkAboutAPPLICATION - 96-00006 - Mail Box Ext - RemodelFAL CATION FOR. BUILD114G PERMIT
CITY OF REXBURGr IDAHO
Date of Application��
OWNER
Name
Street Address I � b\4
Mailing Address 1.0
City, State
Permit No . z�
CONTRACTOR
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_�,,Two Street Address
Mailing
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elephone
Mobile Telephone
Architect or Engineering Firm Ida # L i . Noe
LEGAL DESCRIPTION (ATTACH COPY IF NECESSARY
Loi. No. Block Subdivision
Job Address
Project I formation o be completed by applicant)
Residence Comm* Educational Gov'
Fence
Structure,.40
Rel
l- i- u
Pat 3-0
Carport
Garage
Awning
New Y,
Remodel Addition
Repai.r
Renewal
Total Floor Area
footage*men
Number of Stories Hel"ght of Eui'ld
Y
unfinislied Basement F iJ, S; 111&1-4-m 0 - - t
What will structure be used for
applicable)?-
include i . "I
k
If use is multiple foily (apartments)
Total Estimated
Are Yotj In A Flood Plain?
Tax Code
Building Permit Fees
Plumbing PiLt Fees
how many n.�t
V
M
• * IL • �iF
UBC Use Classification }
Building Type
Water & Sewer Hookup fees
Signature App l ant
Signature of Building
Issued by
Flood Permit
Plan Check Fee
Digging PermaLt Fees
Other Fees
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