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HomeMy WebLinkAboutAPPLICATIONS - 07-00497 - Reals on Deals Home Decor - Mechanical• CITY OF RF,XBURG MEGAA NNIC "AL PT RMIT APPLICA 140N 19 F, MAIN, REX13URG, TD. 43440 208 -359 -3020 X326 • Plea, 0700497 If the q Reals on Deals Home Decor - Mechanical PARCEL NUMBER: �r ) _ l ( W'e will provide this fur yowl SUBDIVISION: LTNITt# BLOCK# (;Addressing is based on the information - must he accurate) LOT'# PROP.IRTY ADDRESS:. {~ CONTACT PHONE PfIONE #: Houle ( ) ���! - - Work ( )_ .� - - -- -- C;ell' OWNER MAILING ADDRESS: � �kct C'I Y �' TATE: ZIP: (z: EMAIL 4 FAX__ -- - - -._ APPLICANT (If other than awtter)____ t �l 1(l ---- � 1``1 _I_�Y _ _ - -- _-_-_-- (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS - - 'w ZV 'l c� _ _____CI`T'Y: - -_� �p r STATE; _ - -- --- _Z.IP_�3`-��� EMAIL - - -p AX - P11ONF -, #: Home ( ) �11�} Work ( ' 5 S.- - Cell iC'ONTRACT ON M AIL TING A DDRESS _� � _l� . ��Y�ill1� � t S • CITY ��_!�_� -_� { K q hf AT � PHONE: Home Work# ,N Cell#� _` ` t 13 i EMAIL. , How many buildings are located on this property? ____,_ - _ Did you recently purchase this prop erty? 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: 1 (i.e., Single Family Residence, Matti Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICAN - T' S SIGrNATLIRF, CERTIFICATION AND AIJTHORIZA`I'ION: Under penalt of perjury, I hereby certify that I have read this application and state that the information herein is correct and I swear that any inlbrtnation which may hereafter be given by me in hangs before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct I aptc to comply with all City regulations and state laws relating to the subject maner of this application and hereby authorized representatives of the City to enter upon the abovo-mentioncd property fbr inspections purposes. NOTE♦ The building official may revoke a permit on approval issued under the provisions of the 2M3 Itttcmational Code in cases of any false statement or misrepresentation of fad in die application or n tim plans on which the permit or approval was based. Permit void if not started within 180 days. Pcnttit void if work stops for 180 days. , Signature Owner /Applicant DATE Do you prefer to be contacted by fax, email or plf>lone? Circle One WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and Are paid in full at the time of application beginning .Taman+ 1. 2005. City of Rexburg's Acceptance of the plan review fee does not constitute plan approval OCT 03,2007 15:33 REXBURG CITY OF Page 2 OCT-04-2007 04:37 AM P.01 OCT 03,2007 16:23 • 12083568833 page I Budding Safety Department 011(v 0r CN Of ft*xbUrq REXBURG Xt A Wwi4A Fam'ly r NAME PROPERTY ADDRESS SUBDIVISION d RequiredIl! MECHANICAL Mechanical Cotitmctor'.s Name: Natn(;.' CO' Address - c r city IV/ ' tat "'j Cell Phone ( 716) Huxiness Phone: (Iql& 70 r-,5/3 !fax.( )--- E n1ad - -- WummemiaY.Muki Fit akily Only) FLYMMS A APPwXCES couN7 (nigie t-em oy Dwwung only) Exhaust or Vcnt Ducts Vumaoe/Air Conditioner Cornho Dryer Vents t leat I-lump Air Conditionur Evaporative Cooler Unit I leater Spa". lienter Incincratnr System - Soilcr Rage Hood Vents Cook Stave Vcnli Rath Fall Vents crater similar vents & ducts. Pool Heater Fuel Qas lipc Outict',t including -dubbcd M Of I'UtUre 0111le?s Rent (0rul4 all that apply) Giu Oil Coal 1 EIcctrit:)Iiyciri)ni4; HEMW01 MAWS QMbWU Wed We acbmifteA 3d1h Plans A Aukagge PWRI 2t Mysty most bc Ahms On pbus cr'T 01 --", I ') :U:XBUFC C 1 ce 0: -' 13 Liccruse number F-1 �j o ( OCT 03,2007 16:30 COMMINS JENNIFE Page 1