HomeMy WebLinkAboutAPPLICATIONS - 08-00350 - 440 Reed St - MechanicalJul. 16. 2008' 10:06AM' F' t Cal 1
CITY OF R= UR 40
A
BUILDTNCr PERMIT APPLICATION
19 E MAIN, REXBURG, ID. $3440
208 -359- 3020 X322
Jewe!
Plea
If the
PARCEL
SUBDIVISION,
(Addressing is based on the -iuformatian - must be accurate)
No, 1186 P. 1
PRR MT A
0800350
440 Reed St- Erickson
Furnace Replacement
0R'NE p , .� 4 CONTACT PHONE #
. A
PROPERTY ADDRESS:
PHONE #: Home ( ) Work ( ) b D ell (
OWNER MAILING ADDRESS: CITY: STATE: ZIP:
EMAIL FAX
(If other than owner)
(Applicant if other than owner, a statement
to act us agent for owner most accompany this application.)
APPLICANT INFORMATION: ADDRESS z, A;/ 00?nq — CITY: - ® S
STATE; Z]p�_ EyIAlI, FAX -
P14ONE #: H ome (
Work 77 Z Ci ll ( )
CONTRACTOR: .�'.r
N AIC,]N'G ADDRESS: 1 ( r�•�ic � �7_ w CTTY_�C kasTATE�ZIP &460
PHONE: Home# Worl - � Cel]4
EMAIL FAX 1 , 9 - .2 7q-
H ow many buildings are located on this propatty?
-
Did you recently purchase Uthis property? No Yes (If yes give owner's name)
Is thin a lot split? NO YES (PIease bring copy of new legal description of property) .
PROPOSED USE;
O,e., S rtgle Family Residenoo, Multi Family, Apartments, Remodel, Garage, Commoreial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION_ Undcfpcgalryofyedwr,Ihcrcbycer*thatI
have feed this applicadon aad stm Ihatthc informadonharoiuis oonm and I awxwtW any luformadanwhich maylu near be given by the in hearing$ before the
pl me isaion ort4e City Comcil .for the City o0tesbwg sball be truthU and couraL l agree to comply with all Clty rogulaaoas snd State laws
rclatmgto the subject matter ofthii sppliostion end hetaby auu+orLNdlvPromralim ordta City TO ea= upon theabovamendeacd piopatY for Inspections Pwpow-
NOTE: The building afifcial may rcyoke a permit as approval Lmed under the provtsiom of 1be 2000 Inoemrmnndl Codc in cow ofaayfalsc Jwtoml or -
mibtepresenmadonoffact. In The applicedotlorondic; plawon which dwpomitcrapptmalY mbised , Permii void ifworl-
stops Sot 180 days. r
A DATE
$AVU re Owner t
Do you prcf= to be contacted by fax, email or phone? Circle One
WA TMG -- B'URMIN49 PERMIT MUST B$ POSTn ON CON:IMC TON STITI
Plan ltew ara norwratundable and are pald In full at the thno of app/lcstlon tw&nbag Januanv 1.20ai
C)ty of R xhnrg's Acceptance of the pb9n .TMrw fee does not consdtutg plan appraval
Jul. 16. 2008 10:06AM First Call Jewel
Jul, 15. 2005 2:22PM 0
Please complete the entire Application!
applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
Required!!!
N o, . U l y l l 8 P.
6 P
If the quesstiart does not apply fill !n NA for non
permit#
MECRffICAL
Mechanical Contractor's Name: ��t�4r.���'"r A Business Name:
Address &, „�QFQ City J 5 3tate - _Zip &3
Contact Phone: ( ) _ 2 X7 . 7 Business Phone: ( ) �� �9' _ 4� 7 q 3
Email Fax
Mechanical Estimate S (Commercial/Multi Family Only)
FIXTURES & APPLIANCES COE VT (SWZk ,Family Dwelling Onky
Furnace Exhaust or vent Ducts
, /Furnace /Air Conditioner Combo Dryer Vents
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas-fired appliance
Incinerator System
Boiler
Pool Heater
Similar fixtures or Appliances
fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply)Cq!s �l Coal FireplaacSlectric�
other similar vents & ducts:
Mechanical Sizing Calculations must be submitted wiA Plans & Application
Point of Delivery must be shown on plans.
X 4 - - — �a/z
SignanliaofUemsedContradlor Licemse number
Required!
The
Range Hood Vents
Cook Stove Vents
Eatrl Fan Vents
sched is the same as
262 .-oP
Data
the Stale