HomeMy WebLinkAboutAPPLICATION MECHANICAL - 17-00097 - 415 W 6th S - Falls Pointe Apt - 42 Unitscity OfBuilding Safety Department
G
[SIi�WCPiRMITFCIiim ffR City of Rexburg
kEXBUR
—.— 1W --- -, - Wmzaiaraaw 35 North Vsl East
Rexburg, Idaho 83440
BUILDING APPLICATION
New MFR Mechanical
1. 11 ro portivow (If'
Nam
Address: P,0 t 0S % ALtS � City;
Phone:
State: —L-- Zip
Mechanical Fee Paid 0
2. Mechanical Contractor
Under Idaho Building Code, a ragistoredcontractar must do the work fora Malta family Residence.
Business: cLa"V(d LLC--.— I-- State License #: — Esp.:
Address! 00 cd City::WAA4�-k State: —14T— Zip Code; -3Y318--
Phone: _-1
Contact/Rep. Name;
Email:
Y3�- ®a Email!
Mochisielcal Cohitictiar-AuthOrized S190061*1
A Copy afyourstate registratianfllcense is required to be, ori file. if this is Che first tune you have done work In the City off?eyborg"please,jr
a photo copy Cfyour lkweixe.. Ifyou (its unsure ifyour license is on file, please Check with the parent Technician by calting (208) 31Z-23dI,
3 -Probit Desc pti I -ffl
Address;, / 1 0 r -OR- Lot Block M _Subdivision:
Description of work:
New MFR Coristi uctlitir It of Buildings: of Units:
. fitse.9for new Construction are charged by number of buildings and number of units.
.0 (130 x # of but1djual) 4 (65 x # of units) = totalfte Le. (130 x 2 buildings) + ((,5 x i ir total units) =
$260 (buildings) + $650 (units)
0 There will also be a plan review fee totaling 109/6 of the above jaa.
APPLIC,AN'T'.qSIGt4ATt3RE,CCRTIFICATI ON AND AUTHOTtIZAVON, Vildefirenafte, of foloary, I hinabyteraryare filw.onod this apekatookand state lf.t thsinfornain.11 heolue
is correct and t swear that any Information which may hereafter on given by tile, in hearings before the planning and Amnat Commission or the City Council rot the City offlexhurg
shall ha faithful rod correxr_ I agree to comply with all City refrufationg and Suite. laws retail tit, to the subject matter of one application and hot olly authorized ropressmatives of the
City to tolus, from the above-mentioned property for inspections mrrmsoz NOTE: 'um banding offleall may rionorn, a parent on approval Word Ardor the provisions of the 2012
International Code in cases of any One. Statement or motropresoninflon or rota in the appreation or on tile plans oil which the permit or approval was based Permit void if not
son red ovituni it 1110 days. Parrift vent I I work grips for 180 days,
Applicant's Name (print):
Date [47
Inspections must tit, called In bolero 8ANI on the tily the inspection Is requested. I nsjnirtimn requests called In after ti AM will be scheduled Por the next bastions tiny.
hispection flotbuil - (208) 372.2344 Wvy'va aborgorg Permit Techiedan -(20h) 3722341