HomeMy WebLinkAboutAPPLICATIONS - 08-00395 - 17 S 3rd E - Sewer Main Replacement08/13/2008 16:37 2087455990
Ju1. 2008 4,rr,P,�
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,�trteaicaF Aamlty Carram:n
ADVANCED PLUMBING PAGE
0800395 ent
14 E 1vIATN, Rc� zD $3440
17 S 3rd E -Sewer Main Replacem
208- 359 -3020 X;32()
(j�_(We will provide t21is fat you)
PARCH NLT1vJBFR• _LSNII #�-- BLOCK. #r. --LOT# -�
SuBT)MSION: p
n.arl, eocitt�r is baecd ot► the : _ _ — CONTACT PHONE #_ 7 r � a
pROPpR'TY cell. ( )
pI-IONE #: ,Home (MIP - WOrI ( ) STATE:^ ?,1P:» -�- --
C;CT�:
OWNER MAILING ADDRESS;
EMAIL- ---- -- _
f other. than o��nar) ----. this hca>;an
�1 P]ic x if onc� r than owntt -1 Rtatemetlt atutlsoriziv$ a )ZCane to act as aeetlt ,for ow>tct moat accompany Pp
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AppLICANT IivFOPMATJON: ADDRESS
7'TP�,___� EMATT �_
STATE; Cell ( )
Work ( )
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MY
MA,A„SNG ADDRF SS; y1 -- S �Q D _.
PHONE:
r nkmo P.EOISTRATION # & EXp, DATE
Flow nny buildings V e located r. tr this p=ope•? — r-
t]ua zopc=ty? No Yes (If yes, list previ015
owt &3 nstue
Did you recently I,= Sk; p
Is thi9 lot split? NO YES (.Please btifg copy of new legs], cleocriprion of propeM)
E. e, Com�aerc ia►1, .rladitim, p — CIRCLE ONE
(j, c Foa�zi
sldevice, - LAvJTI Family, r.�p =�, Remod4 Gaxag
F i7eeo eeerlfp chic T
CERTIFICATION AND ALTY OPUZ .TION: 1n er Pe l ° p f oes the
AFpLICANT'S SIGNATURE: atatutaatads;Nte�awta,r.�Wtirtr to 11
�tasr, tcxd. this appNcatirxi and suite That the hfo — daft Ilc!cit is r-n_tect a+nd t s1veru tl+tat Ray IDfOtmleoaS wltieh cray Aer�tet � as � ectvrae pvcQotr� MOTE:
iIhmning and 7ov%ft Cornm+ssioM1 a da�ereby azuhcxised at CW t% of the Cir tto & IsttVO% the Gode irnW15M1t PR0 G �e or mt�tepeaaenraMO of lac;
:o %tic subject matret of +his Rpphe i 1;pKUea uaader tha Puot ¢ioGM of nc�
• rite building dca Owl :t a+t a. ate a pesrut nn app oc�
u, t app
b application nz th p e which sh r. I,provnl a a� l7nxct% Permtt vmd ;f •not Stoned withm 190 days. ?=grAt vrsdi£ work sTOp� For 1 / Sys•
— — -- DATE
.93prstuzo of rl a can ail ns .hone? Circle Otte COSiSTRL['.TtOAi g{7�f
Do you pr to } c contacted b
y fax, em
O, Skn1.D)NG PgRMtT UT= BE Xa9TED ON S.
Ptaa `cca ono =oa -.r ; A � oee of tuc A thr dm* of fee dce 4 ' o . 1 K pbn
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wrsu uai. @ rM.Wry6"M tut due ae {1�C of ftTq+liaad��° +�9w161ng Permis a� void $yon
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08/1
(/2008 -16:37 2087455990
Ju ►, 22. 93H
�.41)PM
ADVANCED PLUMBING.
Building Safety
19 E Main janeiih @lexbur9.o19
,ID82440 v+w`�'- r+axpur9.o11
(Shall %ndude the exterior mall measuzemcnsS o£ the btvldin J
Remodeling vur ,q0d h / � omC {need Est�xc�te)
.��
SURFArX SQVAJW .FOOTA. ,G,9.
Fint F3,00r s econ d t]oor. /lof atea��
Z'hitd floot/lo£s
Shed of
oz Bam
- - Water Metet Size:
Water Meter. Quantity:- -- — - - --
PAGE 03
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Required
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)iu�ving con�cto�-
A.ddxess Q �C� qb W
Contact Phone: (2
Business Name:
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usiness
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FA.X
Qr rncl��J'n ro = mss , h
r� Cloth.es wo ing �rlachicYe
_ Tub JShowess `�
Dishwasher
Toilet/Uxinal
Floot Drain
�+„ dates >- 1eatQS �
CJarlvae Disposal Water Softeuet II -
�,, loot Tub / 5pa
Sinks p
pva.tones, t t bar, l )
(Commercial Orn.IY)
plumbing Fstia�.ate $
RC edl S' 7�nv� of Lieengcd Contractor
zacex,,se „ur.�bex Da e
The City n� Rexb cg's ,emit few ss1 >�1�� c.r the . <eme as rmd the Slate Idaho
_.._.. d
Department
Cg'y of Rexburg
phone 208.369 -3020 A3e6
lin£:a1�11ed 7�asc�eaat ages
Full . hed basemexat axe
GataSc area.
Caxport /Deck (30" above ge)