HomeMy WebLinkAboutAPPLICATION - 94-00010 - Ice Cream Parlor - RemodelAPPLICATION FOR BUILDING PERMIT
CITY OF REXBURGt IDAHO
Date of ApplicatJ
OWNER
Street Address_ -0111
Mailing Address A L2
City, State
Pit
CONTRACTOR.
Name
Street dr 9B
Mailing Address
2ipi�' Telephone�.l>S G�0Zig Telephone
Architect or Engineer -Ing Firm i
LEGAL DESCRIPTIt7PI (ATTACH COPY IF NECESSARY
Lot No. BlockSubdivision
Job Addressr
Prop ect
Information
W/S
(To be completed by applicant)
Residence om
Fence Patio
Structure,
Educational
Carport
New -, 1 Addition
Gov't Rel aL
Garage Awning
Cal
Repair Renewal
Total Floor Area;/ Number o o F
Height o u tdincj
footage: Unfinished Basement
What will structure be used ('nclude name of bus
applicable),?
d,„`�_ 't!'5
s }
RM
If use 'IS Multipleapartment how many unit
Estimated t A
Use classificationl
Group Type Constructi
Building Permit Fees
Plumbing Permit Fee
Water & Sewer Hookup fees
Signature f n
S-ignature of Building inspector
_C TY OF R`,XBURG
Use Zone
Plan Check Fees
Diggs Permit Fees
r
NAME 0 F
BUSINESS, 0
LOCATION. �,
crTY OF REXBURG
BUSINESS LICENSE APPLICATION
TYPE OF BUSINESSIP
PERSON APPLYING:
A'4
REXBURG ADDRESS: �f4�N
OTHER ADDRESS:
HOME PHONEO
LOCATION OF PREVIOUS BUSINESS:
DRIVERS LICENSE
0
STATE b
MRM�vcrp vn
name
auaress
COMMENTS'. 0
0
SIGNATURE,
FOR OFFICE USE.
AMOUNT OF LICENSE,
WASTEWATER INSPECTOR DATE
HEALTH INSPECTOR DATE
(Appla".cable to food services)
BUSINESS PHONE9.
0
BIRTH DATE:
a
DATE
DA
-b TE OF APPLICATION.
BUILDING INSPECTOR DATE
APPROVED CITY CLERK DATE
TE—Owner Copy
CANARY— Surfdjr�q
sL'x�or s Cop
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A
ILE L BOYIE
MAYOR
L EY,
FU D R ER, F1
ex lara.
0
STATE OF IDAHO
TO ALL PLUMBING CONTRACTORS:
With the ether
impassible for
L'
12 NORTHCE R EET
RBR, IDAHO
PHONE ) 359-3M
•
resansibil�ties I have as Water Su-nerintendent) it isp
me to check to see if you are
There are many of you out There that don't
call. You know what the requ.iremsn#s are ;
plumbing inspector for as inspection#
I need 2 or 3
let me know .
day notice in
hours notice
Also , on the
advance .
ready' for an inspection.
think it is necessary to
.s far as notifying the
and I
can be there .
You need
to call and
water
taps we need
to have at'least
one
Thank you for your cooperation*
Sincerely,
DeLynn Edstrom
Plumbing Inspector
jW
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F1