HomeMy WebLinkAboutAPPLICATION - 94-00021 - Hogi Yogi - RemodelDate f Application
OWNER
Name
APPLICATION FOR BUILDING PERMIT
CITY OF RE.XBURGI 1
Permit No
CONTRACTOR
U 2 dame
Street Address
Mailing Address
City, State
Street Address
ii_ll' Ad res
City State
Z P 4�4>Telephone �,� Telephone
-23
Architect or EngineeringFirm Ida. Lic. No.
LEGAL ❑ESCRxPTIQPi ATTACH COPY IF NECESSARY
Lot N. Block Subdivision
Job Address
D2 2�x
P t Information T 1eted by applicant
Residence comm. Educational G
Fent
Structure:
Pat i
Remodel
Now
Add it ion
4 1 1 1 A -RI s
Gari_
0A
Re newal
Total Floor Area Number of Stories ,} Hsi
ght of ng
Sq. footageo
Unfinished Basement Finished
What will structure be used for
T
appl.m
it
It
(include rums of business
Ir use is multi-plei t (apartments)
Estimated cosi
Use Classif ication
Group Type Construction
how many units
Use
1
r r i eePlan
Check Fees
Plumbing
Permit Fees
Digging
Water &
Sewer Hookup
fees
Other Fees
Signature
Signature
Issued by
Zone
-
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG,IDAHO
A�m
Date of Appl a i ,:
OWNER
Street Address//o
yaC
Mal' -ling Address
"lt
CONTRACTOR
Street Address
Mailing Address
45700/ C-7
City, State /Z4 City State
J -P C Te1ephone35-"6,,3jzY6 i Telephone
Architect Engineering
LEGAL DESCRIPTION (ATTACH COPY IF NECESSARY
Lot No, BlockSubd.&.ViSi_on
Job Address
trl Icompleted by applicant)
Rea � Com pEducational Goy I t, Religious
Fend Patio Carport Garage Awning
Structure New loe Remodel Addition Repair Renewal
Total Floor Area Number of Stores Height of Building
. footage: Unfinished Basement Firs fished Basement
What will structure be used for (in.clude rums of business
k
app
lit
!Q7r,-,
If use is mutt idle family apartments how many unit :::,
Estimatost
Use Classification
Groip_____. . ... Type Construction Use Zone
Building Permit Fees Plan Check Fees
Plumbing Permit Fees Digging Permit Fee.
'dater Sewer Hooka s � 5
Signature of Applicant
Signature
y
Issued by
. A
.1ding nspector_ -
Excavation &
Earthwork:
Concrete:
Masonry;
Roofing:
Insulat
.Lons
Drywall
4
t
4
SUBCONTRACTOR LIST
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ac��v
M.(x ( )e
Ploor Coverings
Plumbing;
i�� 1- 3
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z
�z
�x
Heat.ing
Electri*cai:
A
9f - 3 S"'- & _-3 -7 4
7 it,
SPECIAL CONSTRUCTION
(MANUFACTURER OR SUPPLIER)
IF
In
I
Roof Trusses
floor Ceiling Joists*
Cabinets
r _
S .../Eater j.frim
Other
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