HomeMy WebLinkAboutBP & APPLICATION - 06-00312 - 547 Partridge Ln - MechanicalZ
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JUN-20-2006 TUE 01 46 PM FIRST CALL JEWEL FAX N0. 12085292793
May. lE~ 10U6 10:23AM- ~. . iru, tiYV ~~ ~
a
., . - ~ os o03~ 2
CITY OF REXBURGr 547 Partridge Ln-Cnty Mech
MECHANICAL PERMIT APPLICATION PIE '
19 E MAIN, REXBUR4, ID. 83440 Ii 1~ile gnest~eu noes >~ eppry ~ w 1~A ivi ...... »rr-.--Nu
208.359-3020 X326
p~C~ ~ J~,~~R_ (We will provide this for you)
3UApIVISION: UNIT# BLOCK# LOTS
(Ad~resslag la based on tho infomlation - must be accurate)
ONTACT PRONE #_ 5 !~'=3
PROPERTY ADDRESS:,
PHONE #: Haiae ~~ a ~~ -. ~11}~Vork ( ) Cell ( )
OWNER MAILIl~TG ADDRESS: CITY: STA1'E:7.IP:~~O
E1ViAII, FAX
,APP, NT_: (If othor than owner)
U-PPllt~nt if atisat men owner, a staumettt enu}wsiz~g applicant to act ae agent fan- owner stoat acooatpagy this application.)
APPLICANT TNFORMgTtON: ADDRESS C1TY:
STATE; ZIP~...~ EMAIIr FAX
PHONE #: Flom~e ( ) Wark
CONTRACTOR:
MAILING ADDI
PHONE: Homes
) call ( )
Ce11#~,
EMAIL FAX
many buildings are lacatcd on
Pr'ol?~Y?.
Did you recently purchase this propertyfl No Yes (If yes giv+c owricr's namo)
Ia this a lot split? NO YES (Please iniag copy of new legal dcseription of ptnP~Y)
PROPOSED USE:
(i.e., Sit~le Family iietddence, Multi Fatally, Apartmottta, Retuadcl, Garage, Commenial, Addition, Eto.)
APPLICANT' S SIC3NATVRE, CERTIFICATION AND AVIT~ORLZA'T10N: vaaer p.aaky eP ~~'. s aonbr ~ ~ I have
newt this ~~oatioa and awd ~ the httbsmtttioa lx+eia Is onrnxt and I swear thtt soy ietommedoo whiab >~' ba El~ao b9 Alt !a hero the Pl~i
end ZopioE Commlae9an az tqe City CbvooU rpttpe sty adaaxbata shell bo oaddhl and coneoG i agree w whtt eq d1Y>sdutsdaas sad ~ laax re~8 to ffie
sohJee[ materr atthb appticasten and hereby at~wtitsed *aD of tho City td attar upon a~ ebavemrsadontd DwDat7- for iospoatiana p~Paa• N04E: T~
boildtfla odlleh>l may.e.oke a paanit on app+avai hid osder~ io»i~eeslt vq~ sGstod whhin 80 ~ P+ m t void i[~ swp Eor I~ o~Rat is
tho appJioatiea of oa 1he phma oA addGhffio ya>nit err
/ /
__ DALE
Slg~Qlte of OwnerlApplicant
lJo ytw prvfar ~ be ood~Ddd by floc, 1 ~ pllanc? C3rale Ono
WARNBNG-BUI[.UII~iG pERM1TMt]~f ~ FOt~SD 4A1 CCIN9TQUC1'tON 91TEI
Plan fiw aro non-rd'ppdable rand are paid in toq st tLe tdata of appllgtloo begiania8
CSty ot»asb~o*'s Aerapalnt~ oitho ptas rcvtew tee dens sot ooestldtb phut apRovul
P, 02
'~,'~~ZJP~~=1---
JUN-20-2006 TUE _01 47 PM FIRST CALL JEWEL FAX N0. 12085292793
May: 18; 206 10~:24RM-~ ~ ~ roo, ~i4u r, w
.~'1e~3~ COrilpl@~~ t~le entire AppliCetion! If rice question dace not apps fill in ~i for noA
applicable
NAME
PROPBR7Y ADDRESS Permit#
SUBDIVISION
P. 03
.Req~~redlll
MEC~T 4,11TICAL
Mechanical Cantrac~r's Name: ' ~ ~ Name:
Address ~ City 9tate~.Zip 3 d
Business Phone: ( ) '~--~ ~ - '~ `7~
Contact Phone: ( )
Email Fax~,~~-~ ~/~-~
Mechanical F~timate $ - a~ (Cammercial/1Ku1ti Famib- Only)
F7~ES ~ APPLIANCES COUNT (Single Fanji(y ~~ ~'~
Furnace Exhaust or Vcpt Ducts
Futraac8/Air Coaditioner Combo
Heat Pump
Air Conditioner
Evaporative Gaoler
Unit Heater
Dryer Vents
range Koad vents
Cook Stove Vent9
.Bath Fen Vrata
other similar vents ~ ducts:
r..r-
Spec®Heater
____~ Decorative gas-fired appliance
Iticinerstox System
Hailer
Pool Heater
~_ Similar fixttu~es oI Appliaaccs
Fuol G~ Fipo Outlets including stubbed in or future outlets
Islet Pr®ssttre (Meter Supply) PSI
Heat (Circle all that apply) Gas QiI Coal FireplQCe Electric
Mechanical Sizing Calculatiou~ mint be ~nbml~tted with Plana dE Application
Point of belivery must be shown on plao~.
3igeanlte of Lio~sa~d Co Licomso cumber Ue<e
7fee Cl1v ofReacbur~'t nermft fee schedule ds the same as required by the oflduh~~ ~-