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Please com lete the entire A lication!
P Pp
If the question does not apply fr"
NAME
PROPERTY ADDRESS
SUBDIVISION
Dwelling Units:
SETBACKS
FRONT
Parcel Acres:
~~
06 00155
1270 S 2nd E-:Pool House
SIDE BACK
Remodeling Your Building/Home (need Estimate) $ ~ ~ ~ ~ --~ ~~, ~jYl ~ 1~
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area 1 tp~i ,SQ ~ i
Second floor/loft area
Third floor/loft area
Shed or Barn
Unfinished Basement area
Finished basement area_
Garage area
Carport/Deck (30" above g
Water Meter Quantity:
************** Water Meter Size: -~14"
Required!!!
PLUMBING
Plumbing Contractor's Name: ~~. P~.',Mfl ~ N~-'i Business Name: ~ /ncs~iz/'
Address City State Zip
Contact Phone: ( ) 35'"(,,•- ~I `I`T® 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 $
SIDE
Sprinklers
1 Tub/Showers
_~ Toilet/Urinal
Water Heater
Water Soft
~ri rl (C_I~Y~~k
~c~ cyt~'A.{ i1
(Commercial Only)
Signature of Licensed Contractor License number
The City of Rexburg's permit fee schedule is the same as
Date
the State of Idaho
Fax
MAR 2 7 2006
B
4
' • ~ •
' Please complete the entire Appllcatlon. If the question does not apply fill in NA for non
applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
Required!!!
Mechanical Contractor's Name:
Address
Contact Phone: ( )
Email
Business Name:
_City State.
Business Phone: ( )
Fax
Permit#
Zip
~ Mechanical Estimate $ (CommerciaUMulti Family Only)
FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only)
Furnace Exhaust or Vent Ducts
Furnace/Air Conditioner Combo Dryer Vents
Heat Pump Range Hood Vents
Air Conditioner Cook Stove Vents
Evaporative Cooler Bath Fan Vents
Unit Heater other similar vents & ducts:
Space Heater
Decorative gas-fired appliance
Incinerator System
Boiler
Pool Heater
Similar fixtures or Appliances
Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) as Oil Coal Fireplace Electric
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
Signature of Licensed Contractor
The
MECHANICAL
License number
Date
's permit fee schedule is the same as required by the State of Idaho
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