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HomeMy WebLinkAboutAPPLICATION - 07-00424 - 2387 Little Town Dr - New SFR Mechanical0 E .CIT OF REXBURG 0700424 MECHANICAL PERMIT APPLICATION Plea 19 E MAIN, REXBURG, ID. 83440 If the 23 Little Town Dr -Jenks 208 - 359 -3020 X326 PARCEL NUMBER: (We will provide this for you) SUBDIVISION:_Saddle Creek UNIT# BLOCK# LOT# (Addressing is based on the information - must be accurate) n! ble OWNER: Tony Jenks CONTACT PHONE #_208- 313 -3799 PROPERTY ADDRESS: 2387 Littletown Dr. PHONE #: Home ( ) Work ( ) Cell ( ) OWNER MAILING ADDRESS: EMAIL ff.." CITY: STATE: Z.IP: APPLICANT (If other than owner)_High Country Htg. (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS P.O. Box 627 CITY:Rigby STATE; Idaho_ZIP 83442 EMAILhi hc�yhtgka,netscape.com FAX 2087450817 PHONE #: Home (208 )709 -4650 Work ( )_same_ Cell ( )_same CONTRACTOR High Country Htg. MAILING ADDRESS: Box 627 CITY Rigby STATE_Id. ZIP_83442_ PHONE: Home# Work# Cell #709 -4650 EMAIL FAX How many buildings are located on this property? Did you recently purchase this property? No Yes (If yes give owner's name) Is this a lot split? NO YES (Please bring copy of new legal description of property) PROPOSED USE: (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: under penalt of perjur I hereby certify that I have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mention E: The building official may revoke a permit on approval issued under the provisions of the 2003 International Code s y se ter nit mi pr n of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 1 d oi k st s a Inil Signature of Owner /Applicant SE ArT ZIP Do you prefer to be contacted by fax, email or phone? Circle One WARNING — BUILDING PERMIT MUST BE POSTED ON C Plan fees are non - refundable and are paid in full at the time of applica iotCj n City of Rexburg's Acceptance of the plan review fee does not c ns t 1Aa - _ Building Safety Department City of Rexburg 19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 of RExst,�R� 1 �.s U C CITY o F RE."URG _ __ ___ Ameriraa Family Community NAME _Tony Jenks PROPERTY ADDRESS 2387 little town dr. SUBDIVISION Permit# Required!!! MECHANICAL Mechanical Contractor's Name: Steve Dick Address P.O. Box 627 Cell Phone: (208 ) 709 -4650 Fax: ( 208 ) 745 -0817 Mechanical Estimate $ Business Phone: ( 208 ) 745 -8056 _Email highcountryhtg @netscape.com (Commercial/Multi Family Only) FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only) Furnace k 2 Exhaust or Vent Ducts 2 Furnace /Air Conditioner Combo _2 Dryer Vents Heat Pump 1 Range Hood Vents Air Conditioner Cook Stove Vents Evaporative Cooler Unit Heater Space Heater 2 Decorative gas -fired appliance Incinerator System Boiler Pool Heater 5 Bath Fan Vents other similar vents & ducts: 7 Fuel Gas Pipe Outlets including stubbed in or future outlets Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic Mechanical Sizini! Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Steve Dick Signature of Licensed Contractor The City of Rexburg's schedule is the same as 7 -31 -07 Date the State of Idaho City Rigby Business Name: High Country Heating State Idaho zip 83440_ 6068 License number