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HomeMy WebLinkAboutAPPLICATION, BP - 06-00543 - 4301 Jud St - New SFR Mechanicalz O 1 0 m w v F,pZ0 s.0 D 0 0 0 O fD O v m m 3 a m -0 -0 v w ° 3 'm m 0 , US CD US N - CD CD V) = Q N O C N 0 C D) O 1 O =, p C 3 _ O cD 0 1 N C = a 0 CD d T a =0v w 0 0 UD 7 O 7 N o � � p E o c CD m v m F s Er O N s C 3 CT 3 ci CD O Q CD 3 CL CD = O fD s p CD of QF _ : 5. 0 N N a x C = N Z n f0 S O O N O �_ 7 ,N.. N ` Q O C N p CD n O 0- O 0 c = F d N N N N - O O Ol n �. :0, = 3 0 0 0 f O< S ;L N CD O O R C O �a CL Q m z m X 0 O z X n I 0 X v X cr to C 3 cr 7 (Q 9 m CD 7 C g X m CO) W O_ C- c Q. U) z c�r m cn = C x w m v ` CD o`�vo C- 0 CD m X n •t m oI o C:) C:) o �� • W D TI _ v z0C» Z CO) sv N CD -� W CD O CD T n N ='n�� m Z ° o -- CD 3. 0) c'c 0 ty ic < C4 y. = CL CD ; 3a =c 0 v > N > r► c CA Cl) � -9 � y 3 v m w O 3 . m 0 0 0 d '� T-o U) n oo n Q) O C -0 c.�' O 0 03 = q N y 1_C 0 O w cn = w Z CCD °'o v CH ? y �1 z 0 CD C 3 ? 3 M r M 3 o N �' � C �! 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H m Z 00 a Q �_ g = y CD Z N 0 < C Nov, 2, 2006 11:49AM • No. 3613 P, 2 CITY OF REXBURG MECHANICAL PERMIT APPLICATION Please + 0600543 zos 359 302Q R.URG, ID. 3300 If �e goes 4301 Jud St -Cnty Mech PARCEL NUMBER: 1�Y ��:�, � � � { Vv w ill k, tura�a.. ... - — .7- 1 SUBDIVISION: r 7- EMIT# BLOCK#�LOT# (Addressing is based on the information - must be accurate) Ql�'1V.R : ..... 0 CO PHONE # - 7 PROPERTY ADDRESS: 9 301 a 0a PHONE #: Home ( ) Work ( ) Cell ( OWNER MAILING ADDRESS: CITY: STATE: 21P:� EMAIL FAX AFPI.ICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner mast accompany this application.) APPLICANT INFORMATION: ADDRESS CITY- STATE; ZIP EMAIL FAX PHONE #: Home ( ) Work ( ) Cell ( ) CONMCTOR MAILING ADDRESS: CITY STATE ZIP PHONE: Dome# Work# Cell# EMAIL FAX How many buildings are located on this propertyY I _ __ — Did you recently purchase this property? +�To Yes (If yes give owner's name) Is this a lot spli� YES (Please bring copy of new legal description of property) PROPOSED USE: 4pww' - �� v (i.e., Single Family Residence, Multi Family, Apar ments, F Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: under peneity of popmY, l hereb certif that i have Teed this application and stile that the information herein is correct and I swear that any information which may hereafter be givcu by me in hearings bcfon the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct l spree to compty with all a qty regulatio xs and State laws relating to the subject mauler o this appl' an and herby suthorizod rcprescntativcs of the City to eater upon the above- mentyonM property for inspections purposes. NOTE: The building official ay reyo on approval issued under the provisions of the 2043 International Code in cages of any false statement or misrepresentation of fact in ft applies onA A permit or approval was Erased. Permit void if not startod within 180 days. Permit void if work stops for 180 days. J` / 'D /,v DATE Do you prt T to be contacted by fax, email or phone? Circle One WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning Javueary 1.3001 City of Rexburg's Acceptance of the plan review fee does not constitute plan approval Nov,. 2. 2006 11:49AM Building Safety Department City of Rexburg 19 E Main loneilh @rexburg.org Phone: 208.359.3020 x326 Rexburg. iU 83440 www- rexburg,org Fqx 208. 359 -30 4 NAME -z 4 PROPER'T'Y ADDRESS SUBDIVISION Permit# R��,� "ICA L� Mechanical Contra's Name: A r tJ Business Name: _ Address City State, Cell Phone: ( ) Fax: ( ) Email Zip ) 15 i Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only) � G Furnace Exhaust or Vent Ducts Furnace/Air Conditioner Combo _ Dryer Vests r__) Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance �7 Incinerator System Boiler other similar vents & ducts: _ Pool Heater T Fuel Gas Pipe Outlets including stubbed in or Future outlets Heat (Circle all that apply) Gras Oil Coal Fireplace Electric Hydronic Mechanical Shine Calculations must be submitted with Plans & ADD lieation Point of Delivery must be shown on plans. Signature of Licensed Contractor 77W I ( - to License number schedule is the same as I _Nov ©� Date by the State of Idaho No, 3013 P, 3 SIMI CITY OF REXBURG ey � i � t �� �►`• Amrrk4 Pdmit rOMMility MI4 � Business Phone: ( Range Hood Vents Cook Stove Vents f l �_ Bath Fan Vents