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HomeMy WebLinkAboutAPPLICATION - 07-00423 - Greenbriar Apartments - Mechanical & Plumbing09/05/2007 '15:31 2086243774 HOUSLEY PUMPS INC PAGE 04 ti7 75_ 7 CITY OF REX 3uRG �w�- - -- CAL PERMIT APPLICATIO P] j 19 E MAIN, RMLrka, ID, 83440 u 0700423 e 208 - 339.3020X326 Greenbrier Apts -HVAC & Plb PARCEL NUMBER: SUBDIVISION DLIR.J\# L U O (Addressing is based on dw informatJon - must be Wurate) CONTACT PHONE # 310 PROPERTY ADDRESS- / e j Nic4 ., L'DU PHONE #. Home ( )_-3 Z'_1 AVork ( ) Cell ( ) ,3 2e 26G . OWN-ER MAILING ADDRE9S: STATE: a ZIP: ?3 .1 EMAIL FAX APP rM f : (If other thwi owner) (ADplicutt If otha than owner, a stat=ent authorizft applicat to act tie spent Jbr owltsr must accompany APPLICANT INFORMATION: ADDRESS CITY: STA7 *E;____ ZIP EMAIL FAX PHONE #: Home ( ) MAILING} ADDRESS:_ Caj M /0-i CITY S PHONE: Homco — work# Z sf '377Xeli# 3 9a 3 7; EMAIL FAX How teeny buildings ere Work ( ) Cell ( ) TATE ZIP ,?39/5� on this property ?, Did you recently purchase this property? No Yes Of yes give owner's nwm) Is this a l split? NO YES (Pleasc bring copy of new legal description ofproperty) PROPOSED USE: (i.e., Single Family Residouee, Mutti Family, AoRnments, Remodel, Garage, Coasstoaraial, Addldon, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: undo pOrMhy orpmw% i honey amury that i hsve MW this a fftieatioo and O ka #W *m infamlom herein Is aenem sold 1 awrar thin any W6rmetioo *Mob may hereafter be Oven by me In heeuinp betbre the Pkue L7s and UaNb Co>r "a,ce or"city cmarell Par the City of Raabwti P10 be truthllrl and 9wroo ..1 epee to amply With Nl City letttleaicse ad Staee love gelatin{ to ibe subject master of this eypliuban so l mby mdarised rweutnht iva of the 01y so aster" the ehoV&rWniosed paropearyr w impeetians pumma . Sam 'rhs building lad msy rcvokc u permit of yproval issued under We provrs wt Of ft 2007 haereetional Code coas of any lelae statcosrtl ar tuiaacyreseotasioa erf &a is fist atpp.Nc tie pr ar+ a plans on b ttte penult or elrC'Orel t►ros baued. Ptamh void if not tbuud void if wort hops lbr 180 days _ s 4- p ? Slgueart: of Own /Appllgpt DATE T Do you prefer to be coWacted by flue, email or phone? 410 Ona WARNING - eUMJXNG PERMIT MUBT vX Po$TW ON CONSTRUCTION VTE! Plea fees are eae.raf ombble and or& pall is full at the %W of opplicatloa batglpelat ANUM rr 1- mfr Clty of Retitwrg's A epteace of tM pies review fear dam out constitute plan approval 35/2007 15: 2086243774 HOUSLEY PUMPS INC PAGE 03 ?(? � 1; 3: . M No. 4t(0 r, • *Bvildio= Psrmit lher ■rWit timr of rpplicrtloa•" "80l1dios PmrJlb on a ei»ck don not tlwr•* Please complete the entire Application! It the question does not apply MI. in NA for non applicable NAB PROPERTY ADDRESS _ 1'tjxrnit# SUBDIVISION Dwelling Units:__ A, Parcel Acres: SETBACKS FRO-4T___ ._ SIDE SIDE_ . BACK Remade ng Your BuJilding/Hon to (need Estimate) SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the bui)ding) ririt Floor Area f�' Unfinished Basement area Second floor/loft area _ Finished basement area Third floor /loft area Oarage area Shed or Bam Carport/Deck (30" abovr grade)Area Water Meter Count: Water Meter Site: required!!! PLUMBING Plumbing Contractor's Name: et w k� N s t Business Name: dwal Address (/0 L L-) M Q t Ad �._._City o a � e�?e! +- -State .�� Zip� Contact. Phone: ( ) 9 O 3 7 "7q Business Phone: (204 2 5�, 7 T 2 - Erauil - -- — Fax - - - ---- x17J F MENT (a lmAm mmid M Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Sprinklers Tub /Showers _ Toilewrinal � Water Hester Hot Tub /Spa Water Softener sil" (Lavatories, kitchens, bar, mop) Plumbing Eethnate S li Z ®D + (Commercial Only) s t C -9 - r' A-7 Required! Sigarture of Licensed C,onurac License number D 97re Ci 1?. a erm;IJaa scleedteJer is the sctrne as re quired by the State Sa,2hO 4 Mar, 1 i 5:31 2086243774 2X) 3:)9PM . N3.353? P. 3 HOUSLEY PUMPS INC e Building Safety Department My of ftxburg ` 19 f A4* Jorw"Mbl -ed- ft PH ww. 20 A 959.3020 '"� Rs lcbwp, fo S,IIIo www.eftbwp,ap PM Yo 359.=4 PAGE 02 CITY O 7 REXBURG h, Ave*at Pho(jr mmmy NAME - - -- PROPERTY ADDRESS pelrmit# SUBDIVISION Requlredl MECH,"ICAL Mechanical Contractor's Name: Btu Name: �ct 4 A '>� Address__ 56 r.. M4•., — City i g . State _ Zip 4 / 4 o - v . Cell Phone: (L°� 39 - A - 1-74 / Busin"s Phone: ( 2°1) 6,4 • 1 Fax: ( ) 2 -07 `OZ Y 377 '/ Email arm Mechauical Estimate (Commercial/Multi Family Only) FIXTURES & APP CAS COUNT" (Single Fnuwlly Dwellbl 01*) Furnace %ac.w_*%A 0..z ;( Exhaust or Vent Ducts __ Furnace/Air Conditioner Combo Heat Pump Air Conditioner Evaporarivo Cooler Unit Hater — Space Heater Deeoradve has -fired appliance Incinerator System Boiler ad= sitni ar vents A ducts: Pool Heater Fuel Gas Pipe Outlets including stubbed in or future outlets Heat (Circle all that apply' J . Coal Fireplace Nectric Hydronic M 11 T l 1 1 i� 1 1 .Y 1 41peaae of Linease I Conft dtor Lcao" number The OT Qf Rab" 1 1 pwail fns scheAdd k the sow ��1z lhs swo �l�eda Dryer Vents Range Hood Vents Cook Stove Verb Both Fan Vents