HomeMy WebLinkAboutAPPLICATION - 92-00013 - Columbia Paint - RemodelDate of Application
APPLICATION FOR BUILDING PERMIT
CITY OF REX BURG r IDAHO
PerLmit No.
OWNER CONTRACTOR
low
Na Name.,
Street Address S t r eet, Addre s s _3
Mailing AddreBB Mailing Address
City, State- City State
zi zip Telephone
Architect or Engineering Firm Ida. L1.c. No.. OMEN*
T
dLJEr,7AL DESCRIPTION I ATTACH COPY IF NECESSARY)
Lot No Block Subdivision
Prop" ect Information (To be completed by applicant)
idence Comm Educational Gov't Reli 5
Res -t,
Pence P a t JL 0 Carport Garage Awn
elo
Structure: New Remodel Addition RepairAeneC�al - *1
f
04
1
a %
Total Floor Area Number of Stories Height of B/0J-
foot age #
1 Unfinished Basement Fini
What will structure be used f r (include name of business if
applicable)?
If use is multiple farniLly (apartments) how many units
Estimated cost,�', d
Use Classification
Groin Type Construction Use Zone
Building Per it FeeEs Plan Check Fees
Plurnbing Per it Fees Digging Permit Fees
Water & Sewer Hookup fees Other Fees
Signature of Applicant
Signature of Buildl*ng Inspector.
Issued by
Basement