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HomeMy WebLinkAboutAPPLICATION - 07-00430 - 905 Twin Butte Rd - New SFR Mechanical09/11/2007 08:12 FAX 2085240801 mug. 27. 2007 10 :13AM CITY OF REXBITRG W( ,,IMCAL Pt -kMIT APPLI C ATION 19 E MAIN, REXBURG, ID. 83z 40 208 -359 -3020 X326 B &S BOILER INC 1a002 • Nu. 4763 P. 2/31 07 0043 0 Please cc IlP the goest 905 Twin Butte Rd- Gunderson PARCEL NUNIRER: a ( We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the informat on - mm be accurate) ONE1Q' �1�onti T i , CONTACT PHONE # € ` . 1M PROPERTY ADDRESS: 9 PHONE #: Home ( ) — - b S Work ( ) s3's - 5206 Cell ( ) s-4 1 S f OWNER MAILING ADDRESS: CITY: STATE: ZIP: EMAIL IL FAX APPLICANT (If other than o ) (�pplieattt i rodaer than owner, a statcMe. 1 ic autborWAS applicant to act as agent for a%mcr ion ust accompany this applieaiaom) APPLICANT INFORMATION: DRESS CITY: STATE; ZIP EMAIL FAX PHONE #: Homc ( ) Work ( ) Cell ( j CONTRACTOR CITY STATE ZIP MAILING ADDRESS: PHONE: Home# w ork# Cell# EMAIL 'AX How many buildings we located o this property'? Did you recently purchase this Is this a lot split? NO YES PROPOSED USE: (i.e., Single Family Acsidc=> ' Multi No Yes (If yes give owner's name) bring copy of new legal description of property) Apa tneWs, Remodel, Garage, Caumnercial, AddidaN Etc.) APPLICANT'S SIGNATURE, C RTTFYCATION AND AUTHORIZATION: Under pub' of pcpj -y. I Jlcycb7 ccrlify lbft J havr wad ibb appHooden and state M flee mformst�iou h in armn is com4 and I sweet thct 4MY filformoice which may lr be given by me m ltratings before the Planning and Zmxi g Coission of the CWCoome>Z fnr the - ofRrAm-g sl a be tnnhfW �md cones-. I agm to comply with ell MY nVIA i0es and Steam laws relntins w the sul j*t mans of thin application end hgare y d mptr.9madves oft]te City to inter aeon the aboVc -men Toned popaW faf inspacti0ns purposes- N(7fE: Thr building ufi aw may revolco a pcernl: us- appmvnl i of fact in thn application of on the plecu br wbiob the Perink epprovel was based. Permit void if not started withiv 180 days. Pt muit void if wo* A*a far 180 days. SWaalwa of Owner /Applicant Do you prefer to be contacted by W.iAt1TMG— Plan fees are my DATE hail or phow? Circle One LDLNG PERIVIIT MUST BE )POSTED ON CONSTRUCTION srM ble and are paid In fill at the tlme of applicstlan beginning lawary 1. 300, Acceptance ofthe plam review fee does not omatitaoe plan approval f \ 9/11/2007 08:12 FAX 2085240801 B &S BOILER INC Z001 Aug, 2l. 20 0 7 lU:I� I • ' • Nu. 4763 P. 3 Buii ing Safety Department City of Rexburg 19 F Main j!e)1h *rekbu19.or9 Phone. 208.359.3020 --326 Rexburg, @ 83440 www.rexburg.org r=: 208.359.9024 r� R NAME 6-te- -t- a ]PROPRX7Y .ADDRESS SUBDIVISION c a CITY OF REX Avmkak Afuiy Qw ty IWA SJ1_ RA. *it v o.1A_ . P=it# M — 0 - 1 " d 3 — D S Requiredlll MECHANICAL Mechanical Contractor's Name- Business Name: 13 `� U o 2�' l ►n�_ Address I S S - S - ij . SLouAWS City �Oo_I IS State a d , Zip S Cell Phone: (aDB) 589 - y - 7 Business Phone: (3-013) S"?4 ! 1 5 - 7 Fax; (aog 3-4 - oB o t Email bs bo'i le-0 0 s-t J. ►n oA Mechanical Estimate 5 FWVRES & APPLIANCES f Furnace Fumace /Air Condition Had Pump Air Cond iantir Evaporative Cooler Unit Heater Space Heater i Decorative gas -fired apl Yncinamtor S y stem Boiler Pool Heater Fuel Gas Pipe Outlets in Heat (Circle all that apply) Q 5ig=td= ofLiacnscd Untr The (CommerciaUMulti Family Only) WVT (Single PO & Dwelling Only) Exhaust or Vent Ducts Combo ° Dryer Vents Range Hood Vcnu Cook Stove Vents Bath Fan Vents other similar vents & ducts; C xg stubbed in or future outlets I D' , Coal Fireplace Electric Hydronic 9 // O 3 License n1lmbcr D aft schedule is the same as required by Are Swo P, 21,111