Other - 3054 - 473-475-477-479 W State St - 03/03/1997 Application for Permit—Eagle, Idaho DATE ,1B No.r654
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
BUILDER burg. CSRNAl ADDRESS 9V (A-AN✓ic1rme, £ice PHONE 33Er-9c//r
OWNER vCdGlc° Viii, I7eu', ARCHITECT/DESIGNER
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STRUCTURE: ❑ NEW D REMODEL 0 ADDITION 0 REPAIR 0 RENEWAL 0 FIRE DAMAGE 0
❑ Residence E Commercial ❑ Educational 0 Government ❑ Religious IT Fence IT Patio , Carport O Garage _ Signs
FOOTINGS FOUNDATION BASEMENT FLOORS EXTERIOR WALLS INTERIOR WALLS CEILING ROOF HEAT INSULATED f \
❑Concrete LI Concrete ❑ Perhal ❑Wood ❑Wood C Wood 0.Wood 7 Budt Up C Gas C Wets ,1`,\
❑Masonry ❑Masonry ❑Full ❑Concrete ❑Masonry ^_ Masonry _ Drywall C Wood Shingle Oil =Ceiling "r
O None ❑Other ❑ Concrete ❑ Concrete I Plaster =Comp Shingle Coal C Floors Y
❑Veneer ❑Drywall C Tle C Tie C fireplace = Perimeter _1
C Metal O Plaster C Accousoc C Roll Root - Electric
O The :)Open C Metal
FRONT PROPERTY LINE 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
r 7 applicable thereto
REMARKS:
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y m DEPARTMENT OF BUILDING AND ZONING PLAN NUMBER
INDICATE NORTH SQUARE FEET—LIVING AREA,_ APPLICANT IS RESPONSIBLE FOR LOCATION OF ALL
PROPERTY LINES AND SET BACKS.
REAR PROPERTY LINE GARAGE CARPORTIBASEMENT_ BA/
VALUES 3000 LOT BLOCK B/c% '4-./o
OCCUPANCY POSIT
PERMIT$�RECEIVED$_
SUBDIVISION tact)/e I`etq
ACRD$ EEC a: _ / J �1
ZONE PERMIT ADDRESc 473-47.5- 5L77•7' .3 -j&z
WATERS 0 Cash 0 Check / /� /
TYPE
TOTALS 5 BY APPLICANT SIGNATURE"'"-rwT +d�^.^'" `;a p '� "
I n In iv V N BUILDING INSPECTOR ADDRESS
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