HomeMy WebLinkAboutAPPLICATION - 07-00294 - 3528 W Hwy 33 - MechanicalJUN -30 -2007 SAT 12;10 PM FIRST CALL JEWEL
Jul.1�. Zuu) 1;11M
CITY OF RE0 URA
BUILDING PERMIT APPLICATION Ple
FAX N0. 12085292793 P. 02
• iuo, u yt.� r• c
0700294
19 M o N 2 EXBUR0, M. 83440 If tb 3528 W Hwy 33-McNair
PARCEL NUMBER: ( We will prov:ae UU;* .LW. ,-- -,
SUBDIVISION: UNIT# BLOCK# LOT#
(Addressing is based on the information - must be accurate)
L aal _ . b , CONTACT PHONE #
PROPERTY ADDRESS: 3
PHONE k Home Work( ) Cell ( )
OWNER MAILING ADDRESS: CITY: STATE; ZIP:93ao
EMAIL FAX
jFP=AA7: (!f other than owner) . � Z 1 'rL r (f /,P .,cu / P. L.
(Applicant if other than Moor, a statement suthoddng applicant to act as agenr for owner most acc =parry thi9 apphaattan.)
APPLICANT INFORMATION: ADDRESS �E) Or - // s
STATE; -- ?P A46 -)- EMAIL FAX
PHONE #: Home ( ) Work( ) Cell ( )
C0IVTRACTQ_ ` � �
MAILING ADDRESS: e D o 2 qZ) CITY STATE ZIP
PRONE: Home# Work# -C�.7�7x
How many buildings are located on this property?
Did you rwently purchase this property? No Yes (Tf yes give owner's name)
Is this a lot split? NO YES (PIewe bring copy of new legal desmtmlon of properyty)
PROPOSED USE:
(j.e., J31otg1e Family Rosldowe, Muld Fan!lly, Apsrpi =u,.RaenodA Garage, Ca7ttut a tied, Addition, Etc.)
APPUCAN*rS SI(zLNATURE, CERTIFICATION ANN AL7HORIZATION: undwpwWryatpedvey, 'baeer=*1bw'
June ttptd Us appGc oe and snob that the intesmadoa ltaa>tin is coaroac aa0 ! awaaeT tbat MY mfmmatiaaot which mdy ha v*W be Ova by me la heminp before th
Plmttias lmd xoai> a Cation or than City Coam u fear *v City o4Rexhn sbon he n d&Ad and coeeot. I V" to comply with all City atigaietlnm and SOau LM
m*thlR w rho xblast tt►Mw of this appliareion aad hereby audioadead repaetaaraolvea of Me CJry to aam upon me apovedlteAftataed paoyctty for impsodous vmp0968.
NOTE; Tbaa building o itc bd may a yclaa a permit an approval issued unft the gw4siams edtho 2000 Tocmaaoael Coder in can Of WY idea 10010010 au
twomp onvian ch=in flea appucoon of ca too platy on which do pa mit or approval was based. Paamit void if root ="6d within 180 days. Permit void if t 0gk
atapa for ! g0 da0a.
C)o
Sine ofOwim/App asst DATE
Do you prefer to be contacted by fax, email of phone? Circle One
WAM41NO B =ING IPZn= MW BE FOJS= ON CONSTRtJIt_ W arM
Phu fm sre nesrnfhadaWe and are psid Its M of that UM of apDlfesllost bsdnn/ot lmaaavt' 1, AW
CJtp of Raatbar`'s Asoaaptaoaa of the plea rwiew ft dnaa not eaasli'ts pbs tapprovii
3
JUN -30 -2007 SAT 12:10 PM FIRST CALL JEWEL
3C) �Q' • .
Beerse� complete the entire Application!
applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
aye. s;
P. 01
Required!!!
MECH-effICAL
OVER AAOrow-,
1 -
Contact Phone: ( ) __,52 2 -- 7 - 7 Z _ Busiaess Phone: ( )
Email Fax J . q— 02 2 qi •3
Meehauical Estimate $_ (CommerciaVMalti Fans* Only)
S & APPLE MM COUNT (Sbigk Fanny Dwelling Orly)
Funxce Exhaust or Vent Ducts
Furace/Air Conditioner Combo
Heat Pump
Ayr Conditioner
Evaporative Cooler
Unit Heater
space Heater
I?ecorative gas -fired appliannce
Incinerator system
Boiler
Pool Heater
FAX N0. 12085292793
U the question does not apply till in NA for ikon
Dryer Vents
Range Hood Vents
Cook Stove Vents
Bath Fan Vents
other Similar vents dt ducts:
Similar fumm or Appliances
Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Mda Supply) PSI
Heat (Circle all that apply) 9 Oil Coal Fireplace ffc is
Mechanical Sizing Calculations mwt be submitted with Plans & Application
Point of Delivery ,mutt be shown on plain
Sigaaarte of Liaonsod Contractor Licmao number
M . .
The Cy q/'Ac* gIs pymlt fe whe dirle_it the nw ar requbvd by th 240 ofldake