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HomeMy WebLinkAboutAPPLICATIONS - 08-00375 - 608 Lilac St - Plumbing07/29/2008 15:48 2087455990 JLl1.22. 2008 4:45PM - �o4ga7t8Ggp� � j C I Ir 1 1 0 T REKB v +RV nv• =� r tmaHc�'sFamlty Wm�:eniry 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 I C() 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 �tiaNr ra - 3,nLrnrtG tuwT musr ro,4rim oN c oN8T ucrroN sm 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 XB URC3 Ar„trtcttk t=amlty Corr�m �.o ... 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 �_, �... r Data the slate of IdA& 4