HomeMy WebLinkAboutAPPLICATIONS - 04-00201 - 545 Angela Dr - Lawn SprinklersCITY OF REXBURG
APPLICATION FOR PLUMBING PERMIT
n OWNER
Name tD VI DI Lot a f'l I f r} � 0, 0 1
Address Wr A" ( ';4- (!.- T.I. -3 " —/ 3
Lot Blk. Add.
PLUMBER
Name
Address Tel.
NATURE OF INSTALLATION
Use
Rough Plumbing
Septic Tank
Fixtures
Water Piping
Complete
Sewer -If
DESCRIPTION OF WORK
Bath Tubs
Urinal
Showers
Sink Trap
Laundry Trays
Water Heater
Wash Basin
Other
Toilet
Slop Sinks
Kitchen Sinks
Floor Drain
Drinking Fountains
Lawn Sprinklers
Nater Softeners
Dish Washing Mach.
:lothes Washer
FEES
Plumbing Permit .................... $
Sewer Inspection .................... $
Inspection of Pipe ................... $
Inspection of Fixtures ................ $
$
$ r
TOTAL $ g
Received: Date --Ac Q� q
By .�K�1
INSPECTOR'S RECORD
N
W
S
Rough Plumbing
Sewer
Other
Finish Plumbing
INSP. NAME
E
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Date of Application Permit No.
Name Da vi - J � Eau Yt
Site Address 5- 4 5 A [� �
Mailing Address c5il
City /State/Zip :R -PI �g U V C, 11� lo q 6
Telephone/Fax/Mobile ( W 5'Y I - (7- 0 (44) 3 f 3 - 124 -2 06
CONTRACTOR
Name
Mailing Address
City /State/Zip
Telephone/Fax/Mobile
PROJECT INFORMATION DEPARTMENT APPROVAL
Property Zone: Is existing use compatible with zoning, (screening parking, etc)
When was this building last occupied ?
Architect/ Engineer Firm Plan Name
Subdivision Lot Block
Circle 0 ne Residential Commercial Educational Government Remodel Other
Circle One New House Addition/Remodel to House New Commercial Commercial Remodel
Circle One Basement: None/ Finished / Unfinished Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage_
Main Level Square Feet
Lot Width
Upstairs Square Feet Basement Square Feet
Garage Square Feet Number of Stories Height of Building
What will structure be used for: Home Home Business Apartment Commercial Other
Will there be an apartment?
Total Estimated Building Value_
Signature of Applicant , .-' "` '
Code
Zone
Building Type
Commercial Building Plumbing bij
Commercial Building HVAC bid
Commercial Building Square footage
Building Permit Fees
Plan Check Fees
Plumbing Permit Fees $ , p
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee
(Parks, Fire, and Police) Impact Fees
TOTAL $ 1� , C)
Signature of Inspector
If so, how many units,
Are you in a flood plain
I MAY 2 7 2004
PAID CAS g
Issued by