DRC-2018-005364 - 0901a06880834e06

ALL ITEMS WITH AN ASTERISK'MUST BE FILLED OUT
IXT.IOOEL E
92m 34500W6t
West R@d N.
'Total Prcperty Area - In Aqes or Sq. Ft.
Square Ft. of
0SaFt Valmtion: 0.00
Res Livino Arca: 0
Pqch Covo.: 0 Sq Ft
Finished Basement 0
No. of
No. of Bedrooms
L@d 0 Sq Ft.
Wall R- Value:
FiE Sprinklor: Yes '
'No. of Ofistr@t Parking
TYPE OR PRINT CLEARLY. PRESS
TOOELE COUNTY
ENGINEERING DEPARTMENT
J Addition
YOU ARE IIAKING SEVERAL COPIES
BUILDING PERMIT APPLICATION
BEGOMES PERMIT WHEN SIGNED
rotal Fee:lglg__
Total Unpaid:lo.oo
Convertu$ ' / Oemolish
of Stories
Un@v€fed
pgrmii b6@mos nulland void if work of @nsuuc{m autidized is not @mmen@d within 180 days, or it
or work is suspended or abandon€d for a period ot 180 days al any time afrer work is @mmerced. I
@rlity lhat I have read and examinod this appli@tion and kmw the same to be true and ryecl. All q nol,
a petmit does rct presuma lo give aulhqity to violate or 6n6l the p.ovisions ot any other stats ol
law ragulating @nstruction w thq pe.forman@ of@nstruction and that I makg this statoment undor penality
p€4ury.
J R$idsntial: Decisions relalive to this Appli€tion are subjoct to .eview by the Chiet exocutive oflicer of the
d @unty entity i$uing the SingleFamily residential building pe.mil and appeal undq the lntematioml
as adopled by the Legislalure>