HomeMy WebLinkAboutALL DOCS - 10-00146 - 116 E 1st S - Electric Water Heater 0 •
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Building Safety Department ccF , z >nL „ , , . ,.,. „
City of Rexburg ' j � y — -
RE URG
35 N ISt E Rho^^''^" '" """'
L Rexburg, ID 83440 www.rexburg.org
10 00146
Remodeling Your Building /Home (need Estimate) $ _ 116 East 1st South - Electric Water Heater
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SURFACE SQUARE FOOTAGE: (Shall include the xterior , measurements of the building)
First F '!* " ea Unfi ed Bas-, ent area
. • floor /loft area Finish , base ' nt area
II
bird floor /loft are lb& ' ag• . . F
ed o n 0 so b a 30" abo e grade)Area 1
- - -
NM \ _ = —
W ter 1 . u _ntity. Water Meter Size:
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Required!!!
PLUMBING nJ jj
Plumbing Contractor's Name: �-+> >>� f Business Name: f f'��'r.,r 1. < R! ��
Address ' 1
X6 /' 2.? City IC �� St d Zip r-3,92
Contact Phone: („:2/1) ;S-? ._?/G G Business Phone: (_2(17!) 2 ys" S"..5.5.2 iI
1
Email Fax .2c P"-- 77S 7 ' 5.3 11
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FIXTURE COUNT (including roughed fixtures)
Clothes Washing Machine Sprinklers
Dishwasher Tub /Showers
11
Floor Drain Toilet /Urinal 11
II
Garbage Disposal Water Heater
i t
Hot Tub /Spa Water Softener
1
Sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $ (Commercial Only)
Required! Signature of Licensed Contractor License number Date l
1
i
5
•
Receipt Number: 'fft9
,Development
83440
(208) 359-3024
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filayee44anter': LSI T OHA14„, ,
40ANI4AG' Paye r/Pal ,
/ 22
Artt I*/ ,
0,101tai Fee °
` AlY10* Pfit
Plumbing Permit Fee $38.00 $38.00 $0.00
$40.00 $40.00 $0.00
ectrical
Total: $78.00
440, toomigy,
Amottra Paid P,
DEr,5r
in ountj
$ 78.00
$78.00
IIIP
PAID
APR 22 20
CITY OF IlE)(E3U_RG___
Page 1 of 1
genpmtrreceipts
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• INSPECTION TICK •
❑ Bldg. ❑ Plumb. Zli Elect. ❑ Mech. ❑ Fire
Inspection Request Rec'd By T Date : a
Req. By L� /&16.4- Phone No. tla J®" — 1
Project 0 4-
ir OG'� Permit No. 0�
Address 1 (J E 1
Inspection Type '
Day/Time Req. - tv.e.stLt Gfq A)41 \x.9._,
Inspector's Report i Res. ❑ Comm.
--Wyk goof■-,4
ott
fe.*‘ke
INSPECTED ITEMS CONFORM O APPROVED DWGS 0 ❑ N IAN /A
INSPECTOR'S ACTION
❑ APPROVED ❑ DISAPPROVED 0/FINAL
❑ C.O. (FINAL) ❑ NOT APPLICABLE NI DID NOT INSPECT
ACTION REQUIRED: wtsNall2s.
. . _ t
Signed ,,`,l tw Inspector
Rec't Ac nowledged
White - Office Copy Yellow - Job Copy Pink - Inspector's Copy
INSPECTION TICKET
❑ Bldg. ❑ Plumb. Elect. ❑ Mech. ❑ Fire
Inspection Request Rec'd By " Date tj /2100
J
Req. By O > 'i 11P ' Phone No. 3/00 — 07 D4f5 1
Project e'l • w /} 14 -e-g-W Permit No. /0 60 /
Address ] 1 10 € • 1 st •
Inspection Type FIW ACT CA
Day/Time Req. / R4 YJi4 44.- (1 : 00 a,. ► t .
Inspector's Report M Res. ❑ Comm.
1211.411Si
INSPECTED ITEMS CONFORM TO APPROVED DWGS 0 ❑ N IN/A
INSPECTOR'S ACTION
❑ APPROVED DISAPPROVED ❑ FINAL
❑ C.O. (FINAL) 0 N • APPLI ABLE ❑ DID NOT INSPECT
ACTION REQUIRED: (CST
Signed � 110I Inspector
Rec't Acknowledged
White - Office Copy Yellow - Job Copy Pink - Inspector's Copy