Pool - 1333 - 625 Fordham - 04/22/1992f9Prh-ntto.R !at PH.,dt -
Idaho DATE Li— aA'c , 19 fa. No.
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED OR
AS SHOWN AND APPROVED IN THE ACCOMPANYINGOMPLANS AND SPECIFICATIONS:
if/OWNER OWNER � \r‘i J h,�tpA I '/s ADDRESS G�C ,Q44A,M 4HONE
W m` YQ
Builder ' rll Architect f'^ Designer
Structure: iltarrgeW Remodel 0 Addition ❑ Repair ❑ Renewal
❑ Residence ❑ Commercial
FOOTINGS FOUNDATION
❑ OonenY ❑ Concrete
0 Rawer/
❑ Maoorr
Mont 000eb
Ladlaate North
be: ooprtr
000UFANOT
133,
0 Fin Damage
0 Educational 0 Gov't. ❑ Religion ❑ Fence ❑ Patio ❑ Carport 0 Garage ❑ Signs
EASEMENT
O Partial
❑ Full
❑ No
FLOORS
❑ Wood
❑ Cinema
❑ Other
EXT. WALLS INT. WALLS
❑ Wood ❑ Weed
❑ messy ❑ Hamm
❑ CmeM. ❑ Cannata
❑ Wader O DrTW
❑ Metal Cl Fluke
0 Tile
CRdINO
❑ Ward
❑ Drnell
❑ Meter
0 NM
❑ Aoouatie
❑ Open
ROOF
❑ Belli UV
❑ Woo M.
❑ Como. W
❑ TUe
❑ Roll Rmr.
❑ Motel
FEAT
CI On
❑ OE
❑ Cal
❑ FDeolate
0 ramble
INSULATED
❑ Wane
❑ Case
❑ Moses
0 Pet1W
THIS PERMIT is Issued subject to he regulation contained in the Building Code and Zoning Regula-
tions of and it is hereby agreed that the work to be done as shown In the plans and specifi-
cations will be completed in accordance with the regulations pertaining
/and applicable thereto: /
REMARKS: ah e4li' Sw I KAM✓�' �h!)t� VL+ {o `CV °Lr, .
7Ais was thrift( a' i*oat aPerwO L
_Akre/ is het Careeflarei a rIubie- lea /
DEPARTMENT OF BUILDING AND ZONING
Square feet — Ltfiug Ares
Garage Carport or Basement
)(Value / L/ yno 4A
Emu PERMIT 18 IZ c
TFTR
I M m IV V N
1 /GZ'=
naiad 9f3 ate
oCoalk
❑ meek
Plan Number
No C'D /.sa5'#'e J$
APPLICANT IS RESPONSIBLE FOR
LOCATION OF ALL PROPERTY LINES
AND SET BACKS.
Lot e� Block
yyA�ddition past btfrsf �dL
'FPermit Address (45.7.I r e41 Q19n
Aaare.