HomeMy WebLinkAboutAPPLICATION - 04-00239 - 338 W 1st S - Lawn SprinklersALA C_ / /V 4�r
3' C Mph o r n-,z, 1-Ly
CITY OF REXBURG
APPLICATION FOR PLUMBING PERMIT
OWNER
N a m e P tlp. AYt C S D"Y1
Address 13Y 10 1 4 3 Tel.
Lo Blk. Add.
PLUMBER
Name ou) Kt r
Address
Te I.
NATURE OF INSTALLATION
Use
Rough Plumbing
Septic Tank
Fixtures
Water Piping
Complete
Sewer
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
Water Softeners
Dish Washing Mach.
Clothes Washer
FEES
Plumbing Permit .................... $
Sewer Inspection .................... $
Inspection of Pipe ................... $
Inspection of Fixtures ................ $
$
a
TOTAL $ OD
Received: Date
By
INSPECTOR'S RECORD
N
W
S
Rough Plumbing
Sewer
Other
Finish Plumbing
INSP. NAME
L