HomeMy WebLinkAboutALL DOCS - 13-00248 - 10 Barney Dairy Rd - T-Mobile - Antenna ReplacementtL6w(+
REXBURG
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Ame rica\ Family C orrnfl u ni tl
COMMERCIAL & MULTI FAMILY BUILDING PERMIT APPLICATION
35 N 1" E, RE,XBURG,ID 83440
208-372-2326
PARCE,L NUMBE,R:We will provide this fot you)
SUBDIMSION:UNIT# BLOCK# LOT#
is based on the infotmation - must be accurate
CONTACT PHONE #tfLS-ZO?.77,19__
Please Complete the Entire Application!
If the question does flot aPply Rll in NA for not applicable
CITY OT
PROPERTY ADDRESS:
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PHONE #: Home t0/t Work
OWNE,R MAILING ADDRESS:'6 *ve aE crry: ltewml0 STATE: *Zrv:I$oSL
EMAIL
(If yes, list previous ownet's name)
Is this a lot split? El NO E YES @lease bring copy of new legal description of properry)
PROPOSED USE:cti^nlt{
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garzge, Commetcial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: u'de.pe'aityof perjury, Iherebycertifythatl
have read this appJication and state that the infomation herein is correct and I sweu that any information which may hereafter be given by me in hemings before the
Planning md Zoning Comission or the Gty Council for the City of Rexburg shall be truthful aod correct. I agree to comply with all City regulations and State laws relating
to the subject matter of_;:his application and hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purposes. NOTE:
Thc h"ifdino oFfici^l mlu rcuaRe a nermit on aonrowal issued under the nrovisions of the 2003 International Code in cases of anv false statement or misreoresentation of IThe building offtcial a permit on approval issued under the provisions of the 2003 International Code in cases of any false statement or misrepresentation of facl
in the appLication
APPLICANT (If other than ownet
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompaoy this application.)
APPLICANT INFORMATION: ADDFESS 12( W. &€IIV!b{ P4 1'F1?iCITY. DITITI€K
ITATE lL*74 zlp--ttl-no- F,MAIT. W(hf6 Wf6€De\G{1/jrcvfit.c67\
PHONE #: Home
MAILING ADDRESS: ?0 ?0K l+1 crw --tWELE-srArE- 4f- zw 8( n 4
pHoNE: cex# g|l.tg|,Vi1t work# F01,5t0.331f Fax#-
I.jMAII CAA 6&C I(,4€T IDAHO REGISTRATION # & EXP. D*E * IUCO EI<P*T6 TOI'IIB
How many buildings are located on this property?
Did you recently purchase this ptoperty? E NO E \aES
Signature of O'rner/Applicint -A.Do you prefer to be contacted by fax,Fmailbr phone?
WARNING - BUIIDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE!
Plan fees are non-refundable md are paid in tull at the time of application beginnirg laana,ryJfuS
City ofRexburg's Acceptance ofthe plan review fee does not constitute plan approval
Rocky Schutjer
From:
Sent:
To:
Subject:
Attachments:
Amanda Saurey < amandas@rexburg.org >
Wednesday, June 1"9, 2OL3 4:28 PM
rocky@ ragedevelopment.com
Permit Receipt
REXBU RG-Recpt238-L9-6-201-3-ama ndas.pdf
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Good Afternoon Rocky,
Anachedisadepositreceiptforthearrtennareplacementffi.1.heplansarecurrentlyin
process, we will contact you when the permit is ready to be issued.
Thanks,
AnandaSaurey
The City of Rexbuqg
PermitTechnician
P.O. Box 280
35 North lsl East
Rexburg, Id 83440
208-359-3020 ext.234l
amatrclas @rcrburg. org
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13 00248
T-Mobile - Antenna RePlacemnt
6119/2013
Routing: Electrical
Bret Stoddard (Please review by Thursday, June 27)
Current Status
Please complete the following:
NA
I Review Plans
I Enter Notes for the applicant under Checklist in the Workflow
! Update result in the Workflow
I Return building plans and this checklist to Amanda Saurey
NA
T
REV
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13 00248
T-Mobile - Antenna RePlacement
06l19l13
Routing: ffi& Building
Quinton Owens (Please review by Thursday, June 27)
Current Status
Please complete the following:
NA
I Review Plans
n Enter Notes for the applicant under Checklist in the Workflow
f I Update result in the Workflow
W I Return building plan and this check list to Amanda Saurey
Notes:
Jobsite Copy is on conference table
NA
T
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Done
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)"City of Rexburg Receipt#:238
Date:611912013
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TdelPePrcrt:
Co&: REXBURG-RecAi238-19-6-201 3 am&s
100,00
r00.00
RcceivedBy: ama&s Prgec I of I
I City ofRexburg Receipf#:287
Date:7/1012013
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F NHXBURG
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TddPelucrt:
Code REXBURG -Reqr287 -10-7-201 1-madasRcccivcdBy: oadas
City ofRexburg Rece[t#:238
Date:6/1912013
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TotrlPrYrrclt:
Co&: RE)$URG-Rccpt238-19-6-2013 aadas
100.txt
100.01t
ReceivcdBy: au&s Pegc I of I