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HomeMy WebLinkAboutAPPLICATIONS - 08-00041 - 413 W Moran View - Mechanical01/25/2008 14:12 20 8_2 33 7 . 027 CITY OF REXBURG MECHANI PERMIT APPLICATION plem 413 w Moran View - Harkins 19 E MAIN, REXBURG, ID. "0 20 8-359 -3020 X326 PARCEL NUMBER: I` (We will provide this for you) SUBDIVISION: UNIT# BLOCK#., LOT# (Addm amg is bawd on the infvamadcno - must be wmmste) A�•_ i�CONTACr PHONE [53l PROPERTY ADDRESS: q / 3 W / G a� ��' `✓ PHONE #: Homc g4 �Ef _ -q .0 1 Work ( ) Cell OWNZ;R MAILING ADDRESS: 1--/ 1 l 2 C1TY j . � g7ATE:,[P. FAX A (If other thaw owner) min .) (Applicem t if *&Or *0 owatet, A at kt eppNcem 0 era[ � ngaR tm owner must scoompsay ePP APPLICANT INFORMATION: ADDRESS CITY: STATE ZIP EMAIL FAX PHONE #: Homc ( ) Work ( ) Cell ( 0 ►�d0P_A'T MAILING ADDRESS: /• 7 , CITY /macalt;(, STAT9 PHONE: Hama W ork�If•Q. - �a2 r � 3 O EMAIL FAX - La a How many bWldiaP are loCaUd to Did you recently ptlrahase this propartY? No Yes (If yos give owner's namo) Is this a lot split? NO YES (Pions$ bring copy of new 180 dascliption of PrOMW PROPOSED USE: 01 lb - (t .e., Single Pudly Re APWWmut , !WWK tsl, ( MIC sm.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: vsesr Putt of Pu*y, t hcl ft octtity that I have rcd thin aprH dw sad AN dothe hfi a 6w book is @ Mut Sod I SOM OM W ia� W N0 OW hmeft eta OM by= M madov u+ f an sad Zeft Conail"im or the CdY txaaalt 1r 96 dq arRM&n dA w uuthlhl Ed - I wo w oom* wm av City nrAm ss and st n k m nkft to the .inject u d this s*iema, .sa Irisey >tztbo t=d tl of as ClW to cm spat Re .bor 4=dcacd - — for imoDootsoor prpow NM: 7u tat s a6eid m•, avow a perurlt m appzova) iswed mdor tho praridam afll� �Qi lolaeatioed coda u ems a ui 7 none 9d - sa Is tae eppfladm ar ao thaykaos oa wkdch the peewit a■ appovrl •vae beeed. Paer�s ve3d lfuee �srMd wr11� lie �. laoerzlt cold pwoAr sop for ►lD Sigma of awn eMpphcaat ATE Do you pmfw to be conocoed by tax. eta � C1mle 4m W bKOE WARNING — SOLV W W POSTED ON CONSTRUMON S17ZI pin tries we son-rmm tlbk Dell ire paid u boat Ors time ela ppikuden t agi esila Ann= 1- IMi Cft7 of Resbwfs Accapfasa Mthe pia esvisw aet eensuRrb pke approval I d pa .7,f � RSD PAGE 01/25/2 14:12 2082337027 Jan. 7. 2008 4:16PM # RSD PAGE 02 • No. 5606 r j Building Safety i 9 E Moir jw*w*mwlx9.o^D Rexburg D 04,0 www.rpbuq.4q NAME Q) Q PROPERTY Al SUBDIVISION Deportment `, • qhr of Ramp 0 0 Peon. tsv�Q20,�d6 Feet 20&M-X24 ceir or REX BURG nw --- -- Am+l6d rm* Cmw- aq' w Pwmit# Required!!! MECHANICAL Mechanical Cornractor'a Name: �S c� �' A• ���T uainem Nautte: �/'� G ce ti Addre City PG'c State Zip Ccll Pbone:") O y Busiees9 Phone: Fax: ( ) FO1 Meehanical Eatimate S (Commereim MuM Fenny Only) PVCMRM A AMUNCES COUNT (Stile Fmg* 4rtl)'I Furnace Exhaust or vent Ducts FuemacclAir Conditioner Cambo Heat Pamp Air Couditilona Evaporative Cooler Unit Heata Space Heater Decorative P3-fired appl snce Iaeinera©c System Boiler Pool Heater ^ j Dryer vents Range Hood Vem Cools Stove Vc►ria 2— Bath Fan Vents other similar vents & ducts: _ I _ Fud Gm Pipe Outlets including stubbed in or fature outlets Hest (Circle all that apply) Gas Oil Coal Fi vpllaoe Electric Hydronic r � 2 MWm w # a(Limmod CaMWW Licoan t� Me CAW q fJta*wg's,pss:,K sme as r grfrvd by tla Scars ofldda