HomeMy WebLinkAboutAPPLICATION - 92-00019 - District 7 Health - New Building4 .
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Date of Application
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APPLICATION FOR BUILDING PERMIT
CITY REBUR, IDAHO
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Permit
CONTRACTOR
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EA
Street Address Street Address
Mailing Address
Mailing r a
City, State city state,
i T1 hone,-P--� f1w
Tele hone
Architect or Engineering rm Ida.
LEGA DESCRIPTION (ATTACH COPY IF NECESSARY)
Lot No Block Subdivision
-A-.,VeA*
Pro t Information T completed by applicant)
Residence comm. Educational Gov' Religious
Fence Pat]La Carport Garage Awning
Structure: New Remodel Addition Repair Renewal
Total Floor Are l ' Neer of Stories Heicjht of Building
S q foots � i i B Fin'shed B
What will structure be used for include name of business
appl j.Cable)4� };;it .nel ��4
if use is multiple ankpartments)how many units
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Estimated ,,eq�f
j g
use classification
Groin Type Constructi -on Use Zone
Building Petit Fees,,e Plan Check Fees
Plumbing Per Fees Digging Permit Fees
Water & Sewer Hookup fees Other Fees
signature
Signature
Issued
ti#
0
Date of Application
Fqp i
APPLICATION FOR BUILDING PERMIT
CITY REBUR, IDAHO
L
Permit
CONTRACTOR
ij� s
EA
Street Address Street Address
Mailing Address
Mailing r a
City, State city state,
i T1 hone,-P--� f1w
Tele hone
Architect or Engineering rm Ida.
LEGA DESCRIPTION (ATTACH COPY IF NECESSARY)
Lot No Block Subdivision
-A-.,VeA*
Pro t Information T completed by applicant)
Residence comm. Educational Gov' Religious
Fence Pat]La Carport Garage Awning
Structure: New Remodel Addition Repair Renewal
Total Floor Are l ' Neer of Stories Heicjht of Building
S q foots � i i B Fin'shed B
What will structure be used for include name of business
appl j.Cable)4� };;it .nel ��4
if use is multiple ankpartments)how many units
g /0
Estimated ,,eq�f
j g
use classification
Groin Type Constructi -on Use Zone
Building Petit Fees,,e Plan Check Fees
Plumbing Per Fees Digging Permit Fees
Water & Sewer Hookup fees Other Fees
signature
Signature
Issued
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CITY aF REXBGRG
BUILDING PERMIT CHECK LISJ-
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