HomeMy WebLinkAboutAPPLICATION - 07-00431 - 8033 S 600 E - New SFR Mechanical08/11/2007 08:12 FAX 2085240801 B &S BOILER INC U004
0. 2007 1 1 ; 29Wi I Nu. 4 8Jv P. 2
CITY OF REXBURG
MECH,A,NICAL PERMTf APPI
208 ERG °'�' s
ICATION Pl eas 0700431 ►
440 >�meq' 8033 S 600 E -Cnty Mech
PARCEL NUMBER
SUBDIVISION:
( we wuI pro uus for you)
UNIT## BLOCK# LOT#
(Addressing is based on the information
- mast be accurate) - -
A wore_
CONTACT PHONE # 3 0 - ')a31
PROPERTY ADDRESS
PHONE #: Home ( )
Work ( ) Cell ( )
OWNER MAILING ADDRESS:
CITY: STATE: ZIP;
EMAIL
FAX
j fff ,C, NT . (If other than own
)
(Applicant if other than ov4=, iLemcmilxt
agent for ovrner must accompany this application.)
APPLICANT INFORMATION:
ADDRESS CITY:
STATE; ZIP
EMAIL, FAX
PHONE##: Dome ( )
Work ( ) Cell ( )
CONTRA
77 CJ 1
E:. 500 J CITY ReX STATE 7 ZIP 'bS 440
MAILING ADDRESS; I a 4
PHONE: Home# 3S(o &qEQ Work#
Cell# 390 - a963 /
EMAIL
AX 35 - gsi/
How many buildings are located
Did you sec sly pswchaw this p
Is this a lot spiiv NO YES
PROPOSED USE:
(i.e., Sbi& Family Residence, Iviniti F:
this propels
erty? No Yes (If yes give owners name)
bang copy of new legal description of property)
Apa¢bntnts, RModel, Garage Commaercial, Additlue, Etc,)
APPLICANT'S SIGNATURE, C4RTMCATION AND AUTHORIZATION: unity ve+'� ar perjury, � �,. eaetity that � b�
sad this applieatiao and apps 69 tbo iREoundion is Gvvz a aud I rAmw that acy intbrra&on w!hieb Mly haatbr We= by is WARP bash m the Plwaing
=d Go y au the Csty t'otmcil for the City cf Be=trg shall be bwbfthl and coercct I agree rD comply %ids ell City rr, anjeoe end 3tffio laws reladng to n.a
subject matter ofthis appueiddss end he"by 406 mpreeannuives of the City to corer upon The Abow- nontionad pCoparty Lot inspoctions pwpa=. Nom., The
boding affia:ia l Mary rvw*ll 6 yorrnit on a�p�eval ; ed audcrrbo p 03 laaY IAons ofthe 20 dd*J a) Cody is VWW of soy fd n summe t or whmxraa:ntadcm of ha in
floe appiiottiow or an the phas oa whf* rhos pefmFe tpprovxl azs based POMit ~arid Fret satrft 1 within 181) dAYs. Pamir Vold If Vm* soups few 180 days.
Sigttathue of OwncdApp&=t
Do you pte tc to btu a aftcWd by i
WARN NG
DATE
Plan few are na
City of
CI>tlail of pbow? C We Ono
L LNG P'Ekb=MUST RK VOSTF-D ON CON$f (tUCTION $)TV
ble a,d era PaW Ja fop at the time of apptlratlan b@WaWn$ I_ "_t
Accelt nm of the plan reviews fsc does not constitute plan approval
M i
09/11/2007 08:12 FAX 2085240801 B &S BOILER INC [003
W D. i r. 2007 i �: 290, I •
1`U. 4uJc P. j
I
Bui
19 E Mdn
Rex", AD 83"0
NAIVM ►> �
PROPERTY ADDRESS.
SUBDIVISION
ins Safety Department
COY of Rexburg 4 'o
u
*11h0rex".o►g PhOW: 208.359 3020 X326
WWW.MXCUU9.CM Fes:,2W.W9.3024 ^',,�'•cu •,
CITY OF
R X
CW
Aw iwbFxftlt CoWMIJ*
Required!!! MECHANICAL
Mechanical Cotnt=tor's Name: )e H Jewso►A- Business Name: 4 130' 1 ew
Address 1 t S Q • � K 5 � ae. City �la -�►-� �a � � s State �-'� - Zip 3 3 uo '�.
Coll Phonc: (05 ) SS 9 - '4 s Business Phone: 0 S 04 ` 1 37
Fax: 00$0 -So' - 0 60 1 Email sv U . xj
Mechanical Estimate S (C o immerdsl/Multi Fancily ONy)
FA'TURES & APP LIANCES CO UNT (Single Family Dwelling Only)
Finace pf� ( Exhaust or Vent Ducts
1 Fumace/Air Conditio= Combo , j 1 Dryer Vents
Heat Pump Range Hood Vents
Air Conditioner Cook Stove 'Vents
Evaporative Cooler H Bath Pan Vents
Unit Heater other similar vents & ducts:
Space Heater
Decnrative gas -fired &PF liance
Incinerator System
Sailer
Pool Heater
Fuel Gas Pipe Out "ding stubbed in or futum outlets � 11
Het (Circle all that apply) Coal Fireplace Electric Hydronic
r,•�.l �. SI I s
3*at= of I..icrosed Con " Li ceum number
M City of Ra� scheAda is the aawe ar
q/l1 p7
DIEV
the Stare oflddw