HomeMy WebLinkAboutAPPLICATION - 05-00424 - 326 W 3rd S - Lawn Sprinkler..
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If the question does not apply fill in NA for non applicable
NAME /^a~t ~ ~ ~z~'n ~° r^
PROPERTTY ADDRESS j~~ ~ 3~d 5vu771
SUBDIVISION ~5 ~~424
Dwelling Units: Parcel Acres: -~ 2~ W 3 R~
SETBACKS
FRONT SIDE SIDE BACK
Remodeling Your Building/Home (need Estimate) $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area
Second floor/loft area
Third floor/loft area
Shed or Barn
Unfinished Basement area
Finished basement area
Garage area
Carport/Deck (30" above grade)Area
Water Meter Quantity:
************** Water Meter Size:
Required!!!
PLUMBING
Plumbing Contractor's Name: ~y~-`c ~ ~ay~r! r r Business Name:
Address ~~, ~ ~ ~ J~ s City ~x o ~ State .~ ~ Zip ~'3~(`~d
Contact Phone: fag') ~5 ~ ~ ~/O~~`" , Business Phone: ( )
Email
FIXTURE COUNT (including roughed fixtures)
Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
Hot Tub/Spa
sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $,
(Commercial Only)
~~~~~~~
N~~J ~ 1 2005 I~
y --
Fax
Sprinklers
Tub/Showers
Toilet/Urinal
Water Heater
Water Softens
Signature of Licensed Contractor License number Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho