HomeMy WebLinkAboutAPPLICATION - 08-00291 - 1230 S 12th W - SewerBuilding Safety Department ogEXerpCr
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City of Rexburg
19 E. Main jonellh@rexburg.org
Rexburg, ID 83440 www.rexburg.org
Phone: 208.359.3020
Fax. 208.359.3024
C I T Y OF
REXBURG
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America's Family Community
Remodeling Your Building /Home (need Estimate)
A�
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area Unfinished Basement area
Second floor /loft area Finished basement area
Third floor /loft area Garage area
Shed or Barn Carport /Deck (30" above grade)Area
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size:
Required fff
PLUMBING
Plumbing Contractor's Name: �1jl Busmess Name:
Address r�C /%� d ��� City State Zip
Contact Phone: Business Phone: ( )
Email
FIXTURE COUNT (including roughed fiartures�
Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
Hot Tub /Spa
Sinks (Lavatories, kitchens, bar, mop)
Plumbing Estimate $.
Sprinklers
Tub /Showers
Toilet /Urinal
Water Heater
Water Softener
(COMMERCIAL /MULTI - FAMILY ONLY)
,s
igna e of Licensed Contractor
The
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License Nurnber& Expiration Date Date
I fee schedule is the same as required by the State of Idaho