HomeMy WebLinkAboutAPPLICATION - 08-00560 - 2897 N 2000 W - Gas Line11/17/2008 11:07 2086243774
yr. r. 2i. ;; "07 3- J8 PM 0
HOUSLEY PUMPS PAGE 02 ND
CITY OF MXBURG 0800560
MECHANICAL PERMIT APPLICATION Ple ew
19 E MA(N, RFXHURG, ID. $3440 Into q1 2897 N 2000 W Withers
208.359.3020 X326
PARCEL NUMBER: (' o q ° t� f (Wc will provide tws for you)
SUBDIVISION: UNIT #_ _BLOCK#i LOT # _„_
(Addressing is based on the inforlaation - must be accurate)
CONTACT FHONE # M 351r ,.,�
PROPERTY
PHONE #: Home pci8) 3s� =. r�3- Work ( ) Cell ( )
OWNER MAILING ADDRESS: CITY: STATE: ZIP:
EMAIL FAX
.APPS r : (If other tbatt owner) < �c c1
(Applicutt if other than owner, a statement wtbOrl d4 oppEnt to act as went Er owner lead OCmpay this appllcatloa.)
APPLICANT INFORMATION: ADDRESS 5 LJJ, )3a k. ,A CITY: A _
5TA7E;j],_
FAX
ZIP 3 '4s" EMAIL_ -�g �- ��- ���
y
PHONE #: Home ( ) Work( ) hQV - 37z1 Cell ( )
o WTRA u st x&1
MAILINO ADDRESS: f tiYl c��v� CITY �f. �4 (A STATE �
PHONE: Home #_.� Work# (p .1 _Q3a
EMAIL PAX t a,1u - 07
many buildings are
on this property?.
Did you recently purchase this proper No Yes (if yvs give owner's name)
Is this a lot split? NO YES (Please bring copy of new legal description of propCty)
PROPOSED USE: _ __
(1.e., SiOgle Family Residaute, Mutt! Family, � „ wts+ ROB G&mp� W AfttIen ft
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: under perky orpa I k "by o at* lhet 1 have
,.W "lic aeo Ind foot that W iefannem O kmia le =00 sad I ewer dO any taforraadea wJdch tae4� 1> � � M by imp as a llim P to fit zoaiat Caamia lm or the City coma 110F the City of l abW5 abail be ovaiial rod arra . A wee a oanply M Isle •tag
subjee! main of>db evDlloetian ad Actebr teRiarirol *tVrMe^um a of oee Clay A oaterupm des eboiwsaeeltloaadPePMAY � iospeetlotY parPaor.
proms or
building O>lkw MR rwou a panit os eppmvd 4eud under Opt dee 2007 buaasrigael Code la cases of say tbNt ssateaw a oiiartpso+oarialos ai 5d in
the wp.Kpleq• Or on the pleas N whits se pttta of appmwal wa bated. rw** vold U work etopi & r 110 days.
DATE
D; prefer to be colotaatcd by f�xrEtni�Lone? One
wAMFINc — 3UjLV T NZ roam ON CON3TRIVCTION SITE!
Plan fets are son- rdambbk and an paid is fill at the tls» of applka"ll bK1001a JONNY 01
City of Resbsrg Aceaptatue of the pba revxw fee don wA cassdWe plea eppreval
11/17/2008 10:49 2086243774
HOUSLEY PUMPS INC PAGE 02
40 N). 3337 P. j
Building Safety Department
J
19 E Moir )0ne"►llab�p.w2 Phone; 208.339.3D20 ttM
Rexbur¢ 0 &1440 www.isfrbuiv -*T Pow, 2ftJ59.9024
� C I F T O F
REX
A�►UdtAlniiyCwununiry
NAME ' -Uo-s I-ct W i 4h a Q S
PROPERTY ADDRESS gS'4 % A. shoo ZL) ,
SUBDIVISION U
Requiredlll
Permit#
MECHANICAL
Mechanical Contractor's Na ine'. leanu 1e d "u c 1,t t Business Nams: �e�.y.�ras - 1 HG
Address - J0 I-Jest 'Pl at"% _ City states Zip
Cell Phone: (W $) 3! o - Q 3 t t, Business Phone: �Mk) _ (pa Y- 31 la _
Fax: (a,o it) _ Lg U - a -7 2 4 Email
- Mechanical Estimate S (CommerciaUMuld Family Ooly)
FIXTURES & APPLIANCES COUNT (Single FWWly ,Dwellt q OMy)
Furnace Exhaust or V eM Ducts
Furnacc/Air Conditioner Combo
Heat Pump
Air Conditioner
Evapotativo Cooler
Unit Heater
Space Heater
Decorative has -Bred appliance
Incinerator System
Boiler
Pool Hcatcr
other similar vents A dude:
/ _„_ Fuol Gas Pipe Outlets including stubbed in or future outlets
Heat (Circle all that apply) ®bil Coal Fireplace Electric Hydronic
Mechanical S S CAlsWag4as mutt be aubmftW with EIM „A ADDlic0110-
m w
Slgoonue of l.fceas0 Contrsr.�o ..� I.icmm number
Dryer Vents
Rangc Hood Vents
Cook Stove Vents
Bath Fan Vents
The Ory of Rffbwrg p*nnirsM scha is the sane w !*;p ryd by the Slabs oJldolro