HomeMy WebLinkAboutAPPLICATION - 95-00009 - 16 E Main St - RemodelAPPLICATION FOR BUILDING P E RMI T
CITY OF REXBURG, IDAHO
Date a f Appl icat ivn ' /0 j �/�/z
CONTRACTOR
Name ��`I.NJ.�� �t�, c, �'`/V1Vame
r.
r Street Andress
Mailing Address 4o
City, state
Zip R3 z11 C)
�'2 y ,ties F
Mailing Addre�s
City State
Telephone
Telephone
Rrchitect or Engineering Firm�.
Ida. L is . No #.
LEGAL DESCRIPTION ATTACH COSY IF
NECESSARY) -
Lot No. Block Subdivision
Job Address
Prop t Tnfry-anti+-4 .
(To be completed by applicant)
Residence 4comra.
Fence patio
.alGov't
Carport Garage
Structure: _ -- .,_New . Remodel Addition Repair
Total Floor Area Number of stor�
Height Building
Sq. f 00tage: Unfinished Basement Finished Basement
What will structure be used far (include name of business if
applicable).9
If use is nnult�gle family (apai;tments) how many units
Estimated cost 2 0 �` (e'11i9AJ6 Il1J�
Use 1 m f is y � .
Type Construction
Blailding Permit Fees -
Plumbing Permit Fees
Water Sewer Hookup fees
Signature of Applicant./
Signature Bum i ng I tor
I9Sued by
Use
Plan Check Fees
Digg'ng Permit Fee
Other Fees
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