HomeMy WebLinkAboutAPPLICATION - 91-00004 - Radio Shack - Remodel.A�
Date f Application
OWER
Name /Ardo
APPLICATION FOR BUILDING PERMIT
BUTLDING DEPARTMENT
CITY OF REXBURG, IDAHO
m
Permit
CONTRACTOR
Street Address-6.��3� �treet Address
City,,State__F;r
Zip_ Telephor
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City State � ►t���i�L��i
(81
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Architect Engineering Fir
Mailing Address
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Ida. Lic. Na.
41tY �� 1� state Zip ,�� Tel. 1Y'� • ��i 4 � � f V � � ! Lf
LEGAL DESCRIPTION (ATTACH COPY IF NECESSARY)
Lot No. Block
Subdivision
NVVg.g06'1L 125' e3 5�7 CoQ.; L, � 4 i I*n i
Side of Street
Permit to be assigned by City)-
Project
ity)
A-
YP.,,Z, e -451U 79!�AZ)
Project Information o be completed by applicant)
Residence COMM� Educational Gov I Religious Peace Patio
Carport Garage Awning Amhovc)k
structure a New Remodel Addition Repair Renewal
Total Floor Area��W Number of Storeys. l Height of Building z
Finished Basement Sq. footage Basement Unfinished B
. footage Unfinished Basement
What ill structure used for (include name business if
applicable)?
Tt use is multiplefamily
Eat i a d cost0 0
-- 5? 1 0120
Will owner occupy 'it? Ales
Other t,At76 ) U
(apartments) how many units
Use Classification
Groin S. tnType Construction
sell it
Building Permit Fees Plan k Fees
Permit FeesiggingFees
Water & Sewer Hookup fees Other Fee
i 0 --gnature of Apel is
�xisr4+-�'i
Zone 14 "1, A
Plumbing
signature o� :H;uilams s C- r
Issued by
r,
�4
CITY OF REXBURG
BUILDING —PERMT.T CHECK LIST
d
INITIAL BLOCK
DEPARTMENT Employee
INITIAL Date
Water Department
.Sewer Department
Sanitation Department
Public Works
Fire Departme-at
Plan Checker
Buildi-ii.ig Inspector
Plannin-9, & Zoning
.Comments
APR 1410. 9 1991
*0
I
ALGENE CONSTRUCTION CO., INC.
P.O. Box 1353
LYNNWOOD, WA 98046-1353
W,
T
FAX (206) 15
WE ARE SENDING Y&
onop crawings
1:1 COpy of letter
Alta h d D
fff
I
TT T ' MITT L
Un r
,,a cover via the following itiems:
❑ Prints
0 Samples
L3 Spec i i cation
THESE ARE TRANSMITTED as checked below:
For approval
❑ For your use
17 As requested
11 Approved as submitted
❑ Approved as noted
11 Returned for corrections
❑ Resubmit copies for approval
D Submit copies for distribution
0 Return -----corrected prints
❑ dor review and comment ❑
FOR BIDS DUE 19 ❑ PRINKS RETURNED AFTER LOAN TO i15
REMARKS
cvPY ro
SIGNED:
'RODUCT 240-2 r r Inc., �Wn. Miss. 0 14 71 If enclosures are not aS noted, kindly note s at Dace,
b Z41— -Aiz
APR 2
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