HomeMy WebLinkAboutAPPLICATION - 95-00021 - Grace Baptist Church - RemodelDate of Application
OWNER
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
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Name��%tAtC� /�I�G�/�'SI
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Street Address
Mailing Address
City, state
10
Permit No 0
CONTRACTOR
Name
Street Address
Mailing Address
Lox
City State
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3. V Tele hone
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Mobile Telephone
Architect or Engineering Firm. ida. Lic..r.
No..
LEGAL DESCRIPTION (ATTACH COPY TF NECESSA
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Lot No& Block Subdivision ,
Z.
Job Address
Project Information (To be completed by applicant)
Residence commm Educational - Gov't
Fence Patio Carport Garage X.100
i1,
_AwMng
Structure. awb-u� New Remodel Addition Repal"r Renewal
Total Floor Area Number of Stories Height of Buildinq�,
Sq. footage: Unfinished Basement
Finished Basement
What will structure be used for (include name of business if
4
appli-cable)-?
If use is multijle faLm'ly (apartments) how many 'Units
Estimated cost ! -00 a
UBC Use Class-iiion
Tax Code
Building Type
Building Permit Fees
Plumbing Permit Fees
Water & Sewer Hookup fees
Signature
Signature
Issued by
Zone
Plan Check Fees
Digging Permit Fees
Other Fees
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