HomeMy WebLinkAboutAPPLICATION - 92-00024 - Farm Bureau Insurance - RemodelDate of Application
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"PLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
r.f� � Permit No.
CONTRACTOR
S-1C.reet Address
Mailing Address
Street AddreaEs
Mailinq Address
cit Stag
s, -State
2 i '�,f Telephone - � � � � Zip � Telephone
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Architect Engineering Fiorm Ida* Lice Noo
T(ATTACHDESCRIPTIONCOPY NEA
Lot Noy Bloch Subdivision
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project Information (To be completed by applicant)
Residence Y\. _Corftm Educational Gov't Religious
Carport Garage Awing
FencePatio--
Structure* New Remodel Addition
ie JfN er o f Storles Height of Building
Total Floor A-rr
foot age * r
` n Finished
for(include name ,usi e s ".What .telo-
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app13l
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t4a) how many units
if use is multi.,
Estimated cosi
Use Classift.L3i
Use Zone.
Groin Type Construction
Tiding Per Fees
plumbing Per it Fees
fii*,-rem� Tj SII a
Signature
Signature
issued
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Pian Check Fees
igging Permit Fees
other Fees