HomeMy WebLinkAboutAPPLICATION - 92-00016 - Retrix Dance Club - AdditionAPPLICATION FOR BUILDING PERMIT
CITY OF REXBURG., IDAHO
Date of Application Per 20.t No.,
OWNER
CONTRACTOR
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Name
Street Address , 2Z� W657 -Street Ad -dress
Mailing AddressJ
Mail'.ng Address
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Architect or Engineeri*ng Firm Ida Lic. No
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Lot No Black Subdivision
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job Addres, row
Propect Information (To be completed by applicant)
Residence Comm Educational GOVIt Rel agsous
Fence Patio carport
Garage Awning
Structure: New Remodel Add.1tion Repair Renewal
Total Floor Areao�W'Number of Stories Height of Building�Lz..r-r
Sq. footage,* Unfinished Basement Finished Basement
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What will structure be used f or (include name of busine B if n
applicable)
If use 'is multiple family (apartments) how any units. OCT 6 1992
Estimated cost
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use classificat'
Group Type Coristrust ion Use one
Building Per it Fees
Plumbing Per it Fees
Water & Sewer Hookup fees
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Signature of Apel Icant
Signature of Building Inspecto
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CITY GF REXBUFtG
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Plan Check Fees
Digging Permit Fees
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APPLICATION
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OWNER
APCATION FOR BUILDING PERI
CITY OF REURy IDAHO
Permit NO a
CONTRACTOR
Name e, L 4.ame
Street Address Street Address
Mailing Address Mail 'Ing Address
City , State )
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Architect or Engineering rm Ida. Lic.
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Lot Block Subdivision
Job Address
Pro F-ect Info=a ion completed by applicant)
Residence Com * Educational Gov't a
Fence Patio Carport Garage Awning
Structure*. New Remodel Addie ion Repair Renewal
Total Floor Area Number of Stories Height of n
footage Unfinished Basement Finished Basement
What Will Structure be used for include name of business if
applicable)?
If use is multiple amity apartments) how many unit
Estionated cost oo--dLf
use Classification
Groin Type Construction Use Zone
Building Per it Feesf axe Check Fees
Plying Per Fees Digging Permit Fees
Water & Sewer Hookup fees other Fees
Signature f Apel l ani ,-
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Signature f Building Inspect
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CITY OF REXBURG
BUILDING PERMIT CHECK LIST
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Public Works
Fire De7partment
PlanChecker-
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INITIAL
Date
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