Pool - 3821 - 1172 W Hempstead Dr - 10/27/1998Application for Permit— Eagle, Idaho DATE /0 -
,19 98 No. 1�
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS:
BUILDER NL) ADDRESS 20/ % -S• n h � s Q
PHONE Z28 c4,
OWNER E me.,A ARCHITECT/DESIGNER
STRUCTURE:W ❑ REMODEL E ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ O ,( 5/b /r7wCxyc� trn. f' P�[�
❑ Residence ❑ Commercial
❑ Educational ❑
FOOTINGS FOUNDATION BASEMENT
❑ Concrete ❑ Concrete ❑ Partial
❑ Masonry ❑ Masonry ❑ Full
❑ None
n
SIDE PROPERTY LINE
FRONT PROPERTY LINE
INDICATE NORTH
REAR PROPERTY LINE
OCCUPANCY
ZONE
TYPE
I II III IV V N
3NI1 A1113dOfld 30IS
Government ❑ Religious
FLOORS EXTERIOR WALLS
❑ Wood ❑ Wood
❑ Concrete ❑ Masonry
❑ Other ❑ Concrete
❑ Veneer
❑ Metal
❑ Fence E
Patio ❑ Carport ❑ Garage ❑ Signs
INTERIOR WALLS CEILING ROOF HEAT INSULATED
❑ Wood ❑ Wood ❑ Built Up ❑ Gas ❑ Walls
❑ Masonry ❑ Drywall ❑ Wood Shingle ❑ Oil ❑ Ceiling
❑ Concrete ❑I Plaster E Comp. Shingle ❑ Coal ❑ Floors
❑ Drywall ❑ Tile E Tile ❑ Fireplace ❑ Perimeter
❑ Plaster ❑ Accoustic ❑ Roll Roof ❑ Electric
❑ Tile ❑ Open ❑ Metal
THIS PERMIT is issued subject to the regulations contained in the Building Code and Zoning Regulations of the City of Eagle and it is hereby
agreed that the work to be done as shown in the plans and specifications will be completed in accordance with the regulations pertaining and
applicable thereto:
REMARKS:
gOA
Guy, ( Poo --
DEPARTMENT OF BUILDING AND ZONING
PLAN NUMBER
RECEIVED & FILED
CITY OF EAGLE
O C T 2 7 1998
File:
Route to:
APPLICANT IS RESPONSIBLE FOR LOCATION OF ALL
PROPERTY LINES AND SET BACKS.
LOT BLOCK J d
SUBDIVISION
PERMIT ADDRESS
Ar(Q
// 72 W . ,»emp k
APPLICANT SIGNATURE
ADDRESS