HomeMy WebLinkAboutAPPLICATION - 93-00021 - City of Rexburg - Senior Citizens Center - RemodelDate of Application
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,kFFLICATxON FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
CONTRACTOR
Name
Street Address Street Andre .
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mailing Address Mailing AddreBs
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-Telephone Z. -L 1�. ...,Telephone.::
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LEGALTI TP AR
MEMPNERNIMPF
Lot No Block Subdivinion
Job Address
Project formation e completed applicant)
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Residence X
Comm. Educational Gov' s
Peace at i 0 Carport Garage Awning
. 0 New l 1 i ion � Renewal
' Number r i B Height u i l
Sq.footage#
Unfinished Basement
`ii Basement
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What will structure be use .dor include name of businessapplicable)?OPP-
multipleif use is
Tamil(apartments) how many units
Estimated COBS r
a Classification
Grow Type Construction
ding 'Permit Fees
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Water & Sewer Hookup
Signature of ApplILLcant
Signature %Building l s`
Isaued by --
a e Zones
Plan Check Fees
Digging Permit Fees
, r Fees
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