HomeMy WebLinkAboutAPPLICATION - 07-00100 - 37 S 3rd E - Plumbing.+
"Building Permit Fees are d time of application" "Building Permits are v of you check does not clear"
Please complete the ere Application!
If the question does not apply
NAME t
PROPERTY ADDRESS - 3 E.
SUBDIVISION
Dwelling Units:
SETBACKS
FRONT
SIDE
SIDE
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
0" above
Water Meter Count:
0700100
37 S 3rd E -Water Htr Replacement
Water Meter Size:
Required!!!
PL UMBING � U55�(( .P,
Plumbing Contractor's Name: Q5 F Business Name:
Address lCf '3q 6 A. ' r /f f 67 City .� r � ��� State -- _ Zi p 9,3
Contact Phone: (2 e3 ) &9( 73yL( Business Phone: (
Email
FIXTURE COUNT (including roughed fixtures)
Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
Hot Tub /Spa
Sinks
(Lavatories, kitchens, bar, mop)
Sprinklers
Tub /Showers
Toilet/Urinal
Water Heater (W. C.$)
Water Softener
Plumbing Estimate $ (Commercial Only) ,
Required! 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
Parcel Acres:
Fax 5 "7
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