HomeMy WebLinkAboutAPPLICATION - 94-00011 - Dr Strobel Dental Office - AdditionDate of Application
OWNS
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
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Street Address
Mailing Address
city, State
2
z 3- P- -.,,,,—Telephone
Permit No i
CONTRACTOR
Name t� / ' �/C�r re t Af,
Mailing Address
city State
lfl <�%�SS
Z, Telephone
Architect or Engineering Firm Ida. l .
LEGAL
Lot o* Block
job Address
DESCRIPTION (ATTACH COPY IF NECESSARY
Subdivision
Project Information (To be completed, applicant)
Residence
Gov' Religious
Fence
Structure*
Patio Carport
New Remodel Addition
Total Floor Area
Sq,, footage: .02-f4 WP -"--k
what will structL/re be
applicable)'?
If use is mu 1 t i-P-Le—f-aM
r
Est
l as
Garage Awning
Repair
Renewal
Number of Stories Height of Building_..
Unfinished Basement Finished Basement
sed for include narne of businessi
0 It
use classif ication
ariLmenus)k-JW ILLCIL"Y
Group Type Construction Use Zone
Buil.
F l Chet Fees
plumbing Permit Fees Digging Permit Fees
Sewer Hookup fees other Fees
Signature of Applicant
R
signature Building ,Inspector
Issued by
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HEREBY APPLIES FOR A PERMIT FOR THE WOR SpIECII
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W FIRlE DAMAGE
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OWNER
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exburgrOns
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REMARKS,
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BUILDING PERMIT CHECKLIST
1, Application For Building Permit
2. building Permit Application
3. Valid Rexburg Trade License
4. Subcoritractor List
5, New Address Given
6. Copy of Building Memorandum Issued
7w Two Complete Sets of Plans Including:
A. 'glad Plan
B. Foundation Plan �y
C. Floor Plan
D. All 4 Elevations
E, Bu i ld ing S e c t i on
F. Door & Windows
G. Special Sections
H. Materials List
or Specifications
I. State Health, Sewer
and Water Permit
Be Plan Check & Appro-val
DATE
q. Permits & Fess: Amountt
A. Building Permit
$. Plumbing Permit
C , Sewer & Water Ser.
D * Digging Permit
E a IRES energy Permit
F . Plan Review Charge
G. Electrical Temp.
Power
10 . All Permits & Fees Issued & Paid For:
1 I. Inspection Record Card Issued:
12, Building Permit Issued*
13. Stamped Set of Plans Returned:
11
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b
avert ion &
Earthwork,..
Cone
Masons
Roofing:
Insulation
Drywall
PaLint ing:
Floor Coverings
Plumbing
SUBCONTRACTOR LIST
11
Heating:
Electrical: _ _ � � �'� �----- [� � f �
SPECIAL CONSTRUCTION
(MANUFACTURER
Roof Trusses:
Floor Cly Joists:
cabinets
idiom rim: -
Other
OR SUPPLIER)
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