HomeMy WebLinkAboutAPPLICATION - 06-00346 - Treasure's Bridal - MechanicalJUL-14-2006 FRI 09 48 AM FIRST CALL JEWEL
CITY OF REXBURG
NIEC~ICAL PERMIT APPLICATION P18SSC C'
19 E MAIN, REX9URCI, ID. 83940 If the gnaatl
tog-3S9-3oao X326
FAX N0, 12085292793 P, 02/03
06 00346
Treasure's Bridal-Mechanical
PARCEL NLJMHER:~~ X ~~J ` ~~~ ~ ~ U (we will provide this for you)
SUBDIVISION: UNIT# BLOCK~# LOT#
(Adclressit~g is based on the infot~ttatioti - must be accurate)
CONTACT PHONE #
PROPERTY ADDRESS: ~--~ G- ~~r.~ ~~
PHONE #: I-Iotae ( ) Work ( ) ~S/~ -- 35~5'Cell ( )
OWNER MAILING ADDRESS; CITY: ST'A?E ~Z1Y:-fie
EIv1AI1. FAX
APPLIC,~fN~ (If otlur thats owner)
(Appl9caut if othesr tbnn owner, tt s~emebt authai~tg applicant to act ae apetit fear owo~ aaust aocotalrany this appligriot-.)
APPLICANT INFORMATION: ADDRESS.
STATE; ZIP EMAIL FAX
PI30NE #: Home ( ) work ( ) cell ( )
CONTRA4'T_QR:
MAIIdNC~ADARESB: ~~,, ~~~ CITY~~~~sTATE ?+~Z
PHONE: Home# Work#~.~~ -777 CeU#
EMAIL FAX ~~9~.~ 7_~-
LP 3 0/
How messy builtiusgs are Iocatod on this pmpetty~l
I?id you recently pureh»se this paope~'ty7 No 'Y'ea (if yes givo otivrtGr's nt;mo)
Ia this a lot split`? ISO YES {P'lease bring copy o£ new logttl de~cripdon of property)
PROPOSID USE:
(i.e.. Sitt~ie Family R,oside>ico, IVltilti Family, Aparcment~ Resavdcl, Garage, Cotttmm+cial, At3dition, Etc-)
APPLICANT' S SIGNATURE, CFRTIFICATTON AND AUTfiORTZATION: va3ex paoalty of perjury, i 1>amby ~ ~ 1 ~~
road Ibis apylioadna aad Mme thza the iafoamadOtt heroin is c~rro~t and 1 wear the any is which mrA' heree~er Ae t~ h9 tat fa boss Lctb2v the P1~f
eed 7aoioB Cooamisdat o7 the City Coaaall !hr tbo City ~1g ehep botratiQW ad vaneot, Y agroe to ~+PIY whi- all C9ty toms sad ~k Iowa ted~ to the
aohJaa matter of thir spplic~ion sad hereby atshortad ropraaoddivwr od4hro City to ettmr uperrttte ebow~mantlaned nroDeid 8or ~ pu~Po101. Ni0I8: 'Aia
balldfos a~tohd maY retroke a retail aq approval laved tmda the ptovbieas oPdkstl03 leeaaetioawl Colo is wsw dwa t~ std or ~ of 19toc in
the eppliaetioa er ao the phme oa which the permit ~ was Hosea, P~ltvOid iYnos sostod trftEio 180 mya. Parch vale if tae ~mpa far t1o0 says.
Sl~mtlun of Owner/Appiicaett DA1E
Do you p~ to be tamed by ~, e>~ ar pbos~c? Chclo oAo
VNA~lNANG- ffiJa.DIIYG P!E>RAd[1' M[l~C Sg P09TF,D INT COPl9TRQCTTQN 9r1'ES
Pbna ~ sea naa-r'dp~dable a~pd aw p1d io fdl at tM isae al sPp ~n+n8,~111t~1.~7°/°~.
Eity aif s Acespeaup of tbo pho t'evloiar flee deww set appt!!l1t0-pMq' apprOetti
CITY:
JUL-14-2006 FRI 09 49 AM FIRST CALL JEWEL FAX N0. 12085292793
-May, 18. 2006 10: 24AM ~ ~ No, Z ! 4U r. 4
~~Ple~a-3e~~rromplete '~~le entire AppliCat~i011! n the guration sacs not Apply' Lill in NA for son
appu~bl.
NAME
PROPERTY ADDRESS P~zmit#
SUHDIVI.SiON
P. 03/03
Mechanical Coniractar's Name: ~ , Business Name:. ~)~~~./ ~~
Address ~=~~1~1!~~ r' ~~ City s S State ~p-J~'~.~SL
Coact Phone: ( ) .'S~ ~ ~ 7'7'7 Business Piwaa: ( )
Email Fax ,S a. - ~..). 7 9~
Mectrsa~ical F~atimate $ ~~~~_ (ConumercisUMnlti Family ~')
.FllCTURES dE APPLIANCES CDUNT (Singh l~au»i~y Dwellve~ O>sly)
~/ Futtyace Exhaust or V«it Duets
Furaace/Aix Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit F3eater
Space Heater
I?ccorativa gas-fired appliance
Incinerator System
8oi18r
Pool Heater
Dryer Vents
Range Hood Vents
Cook Stove Vents
Bath Fan. Vents
atber similar vents & duets:
Similar fixtures or Appliances
Fuel Gas Pipe Outlets including stubbed in or future outlets
Tnlat Presstare (Meter Supply) PSI
Heat (Circle all that apply) Gas Oil Coal Firaplscc Electric
1Vlecbanical Sizing Calculations mint be submitted with Plans & Application
Paint of Delivery must be shown o>a pleas.
ignanun of Liccaaod Go
Licaose m>a-bar
~-,~~ -o ~
Dato
Requrred'!11 .N~C1~~A.NIC~-.L