HomeMy WebLinkAboutAPPLICATION - 08-00264 - 355 Partridge Ln - MechanicalJ
20081! 5:06PM 1:7 Fi rst Call Jewel
CITY OF',REnU
BUILDING PERMIT AP ICATION
19 E (MAIN, REXEURQ, ID. 83440
208 X322
PARCEL NUMBER. 1Em h (We will provide this for you)
SUBDMSION: UN17# BLOCK# LOW
(Addressing is based on ibe inf ormation - must be awarate)
OWNER; CONTACT PHONE # 7� 7
PROPER ADDRESS:
PHONE #; Home ( ) OV ( ) Cell(
OWNER MAILING ADDRESS: ,_ . CITY STAT..TLZIP;, Zl
B MATT, ' FAX
No. 0651 ?5 P. 32
PERMIT
Please complete the entire Application-1
If the question does not apply f ll in NA for non applicable
A�'�L�CANT (If other than owner)
(Applicam if otber than owner, a statement
to act as gent for owner mast accompany this applicadon.)
APPLICANT INFORMATION, ADDRESS / _, a, C ITY . L
STATE; ZIP EMAIL
PI40NE #: Home (
Work ( ) �2��7777 )
CONT24CTO.2R
i
PHONE: Home# Cell#
FAX 6:�;R
Howmany buildings are located on this property?
Did you recendy this property? No Yea (If yes givo owner's namc)
Is this a lot split'? NO YES (Pima bong copy oaf new legal description of propeM)
PROPOSED USE;
0^, s,1 We F=Uy Rosldme, Mulct Famlly, Apartments, Remodel, Garage, Ctnnmeratal, Addition, Etc.)
APPLICANT'S SIGNATM. CERTMCA7704 T AND AUMORIZATION: uadWpeaa1tyofp,4wy Ih=byeertitY*1t1
have read this appllm as and no that the iufotttandda !torah is coned god t swQW tbai any infotmadooa which im ey hwwf r be Siven by me in hestittP befate tde
PieaNa6 sad ?Aping Cottmtlwlop "the City Colt W for the Cidy of Rmoburg +ball be trutbil t and coast i agree to o=piy whb alt Chy rogdwjow and Stara laws
misftto tho avWW mow oftitis P"hotnion said hNsby sulttotind represeetadves of the ChytO et= upon thembove- nieadaned ptomw tbrin9pccdow ptQp m-
NOTE: The building official tray revoke a permit on approvej isencd under the pmvielom ofthe 2000 ram udaaal Codo in awes of tray folio , ta!I - tor-
tatareptesoatadan Offe"ja me s aGoon or on dm pleas onwhkh tho penult orspptowl was based Aiamit void xtaotsarted witlua 180 days. peen t void lf
stops for 180 days,
� 6 /� ^/
c:—."rm WMunmw1A"k DATE
Do you prcfcrto bt: contacted by fax, email orphone? Circle One
wAJUqWG $UII DIfVG PZW&TMUSTB$ P4SMM ON CONSTRUCrION 91TEI
Plan ibss sra pox -ro badable and are paid lath!! A tp rdme Otapg&selon boWanle8 Lq1 1 2001
Cliy d3t =bmrg Arstapiaom dtho plan ro isWhs doer "Ot ronallidS plsu spproVQ
Jun.
1 2008 5:06PM First Call Jewel
Jul, 15. 1005 2:22PM
Please complete thAtixe Application!
applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
luo ' 0657 � P.
P
It the question Alaot apply flU in NA for non
Permit#
Requiredll
MECHANICAL
Mechanical Contr� Name: siness Name:
Address 0y�,L) 7�Z ��) City � Q s State Zip22,
Contact Phone: — 2 7 7 7 Business Phone: 7 2 - 7
Email Fax d' Gl -- a'
Mechanical Estimate $ (Commercial/Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
Furnace ExhA int or Vent Ducts
Furnace /Air Conditioner Combo
Heat Pump
b Air Conditioner'
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas-'fired appliance
Incinerator System
Boiler
Pool Heater
Similar fixtures or Appliances
Dryer Vents
Range Hood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
Fuel Gas Pipe Outlets including stubbed in or future outlets
Net Pressure (Meter Supply) PSI
Heat (Circle all that apply) Gas Oil Coal Fireplace , ceatr®
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
/e
Sl nature of Licensed Contractor License number
Required!
The CV ofRexbwg's permitfoo schedule Is the same as
v
Dat
Me State of1dahc