HomeMy WebLinkAboutAPPLICATIONS - 08-00602 - UPS Building - Unit HeaterDec, 19, 20085: 4:51PM1:1111`i rst Call Jewel
CITY OF RM U*
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURQ, ID. $3440
208 -359- 3020 X322
No, 30575 P. 1
PRR MTT�
Please 08 00602
If the qua
PARCL N0MB (I UPS B U i l d i n g- U n i t H
E B ate r
SUBDIVISION: UN_.
(Addmsing is based on the - information - must be awurate)
PROPERTY ADDRESS:
PHONE #. No= (
) -1:" 9 1 Cell (
OWNER MAILING ADDRESS: CITY: STATE: ZIP:
EMAIL FAX
APPS , (If other than owner) _
(Applicant if other thm owner, a statement authorizing applicant to act as agent for owner must accompany
APPLICANT INFORMATION: ADDRESS �_ CITY:�� -S
STATE, ZIP EMAIL FAX
PHONE i#: Hom.e ( ) — Work( ) _ ,Z 277? Call ( )
CONTIACTOR
MAILING ADDRESS: • G (� CITY 5 STATE�ZIP
PHONE: Home# W orb Cell#
EMAIL pAx t �K29 -c2 79_?
glow many buildings are located on this property?
Did you recently purchase this property? No Yes (If ycs give owner's name)
Is this a lot split? NO YES (Please bring copy of new legal description of property)
PROPOSED USE:
0,e., Slagle Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Btc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of pedwy ,Ihareby- rrirrlbntt
have irad this application and sttdo that the iafotmodon baoio is comot aad l awcar that tiny information whioh mayham4er be given by mein hearings before The
Planning and Zoning Comadesion orthc City Council for tbo City oMexbwo shalt be trutblLl and conwcL I ogee to comply with all Clty regulations and Stslc laws
Tvlft f to the auocat rruttor of this epplianion end henlby autdorfW repreml::Wm of tha Chyy To enter upon the above- mendoacd propcny for inspections ptupoeea,
NOT);, Tito building aff9cial tray revoke a permit on approval issued under the provisim of rhu2000ImmadorW Coda In aoxv ofany false st mDmt ar
ml9trepraaeettatlon of fact.ln the appliamon or oa dm Plano on whlch the pormit or approval was Wed. Permit void if uotatarted within I So days, Permit void if work;
stops for 180 days_ . r
z,;—; a
DATE
Do you prcfar to be coMatcd by fax, email or phone? Circle One
WARNING $UIl!.DING PERMIT MUST 39 POS= ON CONJTRUCTlON 3]TEI
Plan has are non- rndundable said are ppld Ia Rill at the tt s of appllestloe h0malog January 1. 2001
City of Rexbnrg's Aecaptgace of the plan review fm does not constitute plan approval
/�% CONTACT PRONE #
Dec, 19. 2008 4: 51 PM First Call Jewel No, 3057 P. 2
Jul. 15, 2005 2:22P No.0925 P. 3
Please complete tenure A lication! If the question does n ot ap n u in NA for non
applicable
�� PP Y
NAME
PROPERTY ADDRESS Permit#
SUBDIVISION
Required!!!
MECHANICAL
Mechanical Contractor's Name: i�; usin ess Name: &idh��,�,,��J
Address City State j zip
v �
Contact Phone; ( ) J S� . 7 7 '7 7 Rusiness Phone: ( )
Email Fax
-
Mechanical Estimate S Com:mereiaVMulti Faniily Only)
FIXTURES & APPLMNCES COUNT (Single Family Dwelling Only)
Furnace Exhaust or Vogt Ducts
Furmcc /Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
--- L,��Unit Heater
Space Heater
Decorative gas-'fired appliance
Incinerator System
Boiler
Pool Heater
Dryer Vents
Range Hood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
Similar fixtures or Appliances
.Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PST
Heat (Circle all that apply) bras Oil Coal Fircplace Electric
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
Signanire OfLieeneed Contracto Licensenumber
Required!
?"fie City of Rerburg's permlrfee schedule is the s xne as
142-1?-
Data
1heS1ate ofldnho
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