HomeMy WebLinkAboutAPPLICATION - 96-00016 - 227 S 4th W - SFR to Duplex RemodelAPPLICATION FOR BUILDING PEM4IT
CITY OF REXB.URGr IDRHO
Date of application z-.,.OP�--
Permit No.
OWNER CONTRACTOR
Name
Name
Street Address
Mailing Address
C 3-
'ty, State
U
Street Address
Mailing Address
pity 'ty State
ZiP Telephone
t . Telephone
Mobile Telephone
Architect or Engineer -Ing Firm Ida. Lic. No.
of No
Job Address
LEGAL DESCRIPTION__(ATTACH COPY IF NECESSARY
.1
-Block Subdi'vision
2 2 z7
Project Information (To be completed by applicant)
Residence comm Educational Gov't Religious
Fence Patio Carport Garage Awning
Structure,w New Remodel Add Repair
P - Renewal
Total Floor Area Number of Stor'
les
Sq. footage:
It Unfinished Basement
Hei ht of Building
Fj-r edd 'asement
What wl-11 struct,ure e used for (include name o
SS if
applicable)?.
If use is Multiple family (apartments ow M
Total Estimated Ctrs eof UBC Us Class'�i"'an
Are You In A F,lood Plain? AJ Flo
Tax Code Building Type Zone z 0
EP
APV
OullaIng Permit Fees Q4k--,
Plumbing Permit Fees
Water & Sewer Hookup fees
S1
Ignature of Appl is ant
Signature of Bu31-1d1'-ng Inspector
Issued by
Plan Check Fees
Digging Permit Fees
Other Fees
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