HomeMy WebLinkAboutAPPLICATION - 04-00244 - 333 S 3rd W - RemodelCITY OF REXBURG
APPLICATION FOR PLUMBING PERMIT
OWNE
Name J /t A S li - a/10
Address 333 Sy, 3 1 y Tel. s
Lot Blk. Add.
PLUMBER
Name l (✓ Y � o Cr� _ J tH S•^,
Address T 370
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
`6)o -244
FEES
Trkv�� Plumbing Permit .................... $ 11��
/e Sewer Inspection ...... • . • ........ • • • $
Inspection of Pipe ................... $
Inspection of Fixtures ............ • • • • $
TOTAL $
Received: Date
By
INSPECTOR'S RECORD
N
W
S
Rough Plumbing
Sewer
Other
Finish Plumbing
E
INSP. NAME
APPLICATION FOR BUILDING PERMIT r
CITY OF REXBURG, IDAHO
Date of Application - /� `�' Permit No.
OWNER
Name A. c, c� a - S.,, 0. S n a- A &a. . Ir
Site Address T 3a S� c ._ l,J �xbur 3 �(4n
Mailing Address 3 7 lu 6 N �'� �� �� 3 y4
City /State/Zip .
Telephone/Fax/Mobile a ol� - - 7 X4 - a 88
CONTRACTOR
Name Ncky0141. ce8 C o�.� c� �,.4 Z\.c
Mailing Address \�V3
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 r c k \ u o CC t„ O ; 9 - j ?
Circle One Basement: None/ Finishe / Unfinished Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage Lot Width
Main Level Square Feet Upstairs Square Feet Basement Square Feet L
Garage Square Feet Number of Stories Height of Building
Circle One New House Additio Cemod;�] o House New Commercial Commercial Remodel
Architect/ Engineer Firm Plan Name
Subdivision Lot Block_
Circle One kesid
: e:n3k Commercial Educational Government Remodel Other
What will structure be used for: Hom Home Business Apartment Commercial Other
Will there be an apartment? No If so, how many units
Total Estimated Building V alue Are you in a flood plai
Signature of Applicant_
Code Building Permit Fees
Zone Plan Check Fees
Building Type
Commercial Building Plumbing bid
Commercial Building HVAC bid
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Commercial Building Square footage Front Footage Fee
(Parks, Fire, and Police) Impact Fees
Signature of Inspector
Issued by
TOTAL $