HomeMy WebLinkAboutAPPLICATIONS - 08-00375 - 608 Lilac St - Plumbing07/29/2008 15:48 2087455990
JLl1.22. 2008 4:45PM
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ADVANCED PLUM PAGE 02
No. 0 /1 2 I',
Please Complete the Entire Application!
If the: yumr. dooa not apply fill is NA for non appii"blc
's.em r
19 E MAIN, REml RG, ID 83440
208 -359 -3020 X326
(We will provide this fot you)
PARCEL NUMBER'
$LOCK #___-J OT#
SUBDIVISION°
([f other the n onmer)— - -_.,. an this a lir-atiou.
(Applieafl.t if arbor than orovnet, a staternwt aut} m iring applicant to act as agmt for oavntt moat nccomp y FP )
AFI'MICANT L' MRMATION: ADDRESS CXX'Y'
STATE. 7'IP EMA —PAX_
PHONE #, Home ( ) Wor1c ( ) Cell, ( )
11 1
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2 �� � srAT� 1' z�_� �-i'
MA�zyG ADDRESS: PD !� � -- �
PHONE: Coll# Work
F1�tAIL
II7►AHO REGISTRATION # & EXP. DATE
How man buildings are l oc a ted on this property? -
Did you recently purchase this prOPC M? No 5r es (If. yes, list previous. owner's name)
Is tliis A. lot split? NO Y.ES (Please bring coPY of new legal dcscdPtion of propesry)
PROPOSED USE: n I
A a> tmeara model, Cage,, Commntcial„ Addition, Etc.) - MCLE ONE
A.PPLICAvTS SIGNATURE, CERTIFICA'rTON .XND AUTHORIZATION: Under oanalty of yar)oxp, T b=bY ="(7 '�"`
M
base .nod tlba appicarim and state the the i tfornat nn f rrrl�n is rosrect and. . swepu that any inform9u a
on wNclt y bmteaftdt be $�Rn by ate in hcawsRp bcforr, the
pL�ru 0j; said Zenieg Cornn^asa ;0n ae the Ciy Council for the Ciy of Re' )"A ahn11 tY outhLi l aa orrxeer Z a gree m oomph vrieh eIl CiEv ngul o to au ce l N07�E Rn�
w the sutica matro�r of ttox npp5e9eon W hereby a u mized rptescmAtives of. dta City to entar W On th ®aDov�esumriot�aA ProAatty for IDfipc P`yP
Mie bLi ing afki l may revoke a permit on appro al is8ued under rl,c provis;omq of the 2D0$ lntanzlLlenal Code in W a of n14 EQ♦ISC �tat®ntenr F t i8o d ays.
n of F�r.,r
in the apDlicatiora �r tm rho 0W M� e>�irh the --cr it Or approval wu lxaacd- Parrnit �o d ;f not gttieted wiflsirt 180 days. Ymteit �ted if work coops fnr 184 day
�- DATE
Si atu m of owne'dAppucant
Do you prefer ro be contacted by fax, cmai7. or phone? Circle Onc
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Tam +� e,e aoa..rl4nAahlr. and Ara pwid Ia � ar den dmc of ppplicadaq tye�eyns8 pvb�$�'�
Cit a f.Roab,u4ao Aeeepu= or enn pbw review tku does reo, aoaldmte pea* •PP 4
"Nuild;n 8 perM.dt .Fees w�! flue at eimc of appli r�NOafaf �MHofldilnP. pe^'i aI^ void i£ Pa°r ehee9e does m et cleats 2
07/29/2008 15:48 2087455990
Jui:22, i008 4:47FN1
Building $atety
79 E Moln janeIIh ®rexbur9.cr9
tD 83440 www.rexturg.b
ADVANCED PLL
pepadment
City Of Rexburg
phone: FO 9 209 59 .3024
MBING
Re ode rig Your BuUdangl Hoine (need Es*wte)
PAGE 01
vA c4T.Y 01
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Ar„trtcttk t=amlty Corr�m
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... U,FpO?,AG£s.- (Shall �,clude the exteziar wall rueasaxcs'ncets of the buldi4
SURFACE 3Q
Un�wlsb,ed �3ASament
First Floor lea Finished basament azea
Second floor /loft atea Ctarage axes
Third �aaz /mfr area Carpov/Deck (36" above ode)
Shed or Ban►
Water Mcter Quantity
1""I" Wsjer Metet Size:
.Kequiredl Y
p,L&AfBJN G
y SA W--% rosxnes9 Name: plumbing ContrAcTO :e Na c: ` �? ate T) Z1F
Address
Business Phone:
COS1taCT
F
of w
Clothes Washing, NfAcrine
,Dishwasher
_
moor Drain
Garbage Disposal.
Hot Tub /Spa
�
(Lavatories, ]dtcheW, box, 'Mop)
spria��
Tub /Showers
Tailet/13 i'3911
Water Plea=
Water Softener
water con
P;Uwbing Estimate $ (COtr MCM1W. Orly)
1 1.1cowe number
gequiredl gj► . axes o e*A "ed C —trOmf
The C o f Rcxbarg f ennil jro toh Wok i the .came as n quirt
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Data
the slate of IdA&
4