HomeMy WebLinkAboutAPPLICATION - 93-00009 - 10 S 1st E - Remodel9
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Date Of App"
OWNER
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APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, ID
AHO
lication
� Permit No, .p
CONTRACTOR
4
Street Addreas
Mailing Addreas
S6iA fi-k 1S -� k-t$,,:�.+Street Address
City, State ---RJU . Ak
IA
ZiP 3 Telephone :3
Mailing Address
Gores
City state
Zip��j Telephone
Architect Firmor Engineering* Lice N*
LEGAL DESCRIpTION (ATTACH-
Lot No. Subdivision
Job Address-:
ProLect ion _
o. oapp11'cant-j.,-,-.-.,--
-ResidenceComm*uca
TonalrY Goy :,
1-
5 �y
Fence Patio
Carport Gary ;, Awn
s
Structures New
mode I Addition
Renewal
Total Floor Area Number Of Stories
Building
footage:shed BasementFi'nish
Basement
What Will -,structure be used for include
busineos if
applicable')?
iz use is multiple family apartments how man nit
Estimated cos
Use Classif .1cation
Type Constru,ction, Use Zone
Building Permit Fees -42-67 �7-
Plan Check Fees
Plumbing "L-111 FeesDigging
Permit Fees
Water Sewer Hookup fees Other
Fees
Signature
Signature
Issued by