HomeMy WebLinkAboutAPPLICATION MECHANICAL - 17-00285, 17-00388-00403 - 398 Pioneer Rd - Rocky Ridge Apartments Bldg 2 - 4 PlexC l 11 IT o F Bui] ding Saletyl Depanilment
li1✓XE11MG E UILC 1NG PERMIT FOP M 41 0 City of Rexbun8
�.d t,art,t d ra,l2f 19 21F Nor] h 1151 Ewit
q. A m( ria s Family aC:ammunit)
P elxbt ng, 1clalt o 8_']440
19L 1 WING APHEICA1110N
lblisice llcir E ciu s ME chanical Wonk
For Office Use
Permit Number: 0 Mechanical lees Paid`
1. Prc p erty Owr er
Name:Ex
r
Ad( ress: (ityj: State: 2 if Cac e:
PN c nc : Hmail:
Undir&aha Builaing Code, a homeown eris1 alk ined to do watrh on tiled"r awn h(ime�
Are your a H amecm nl( II d oin€I A ork an Naur awn harrle?
❑ Yes (! 1i1 ip I CA #41 anc carr plete th a Homeowr, er's E) emplt is n]
® No, I aim Two rking with the homeiownler
2. Mcicha total Contractor
Undirlaahc Building Code, aregisilleredcontractairmust dc Jhvworkjore Comment: icIEWilding.
Business: J 1A State Licer i e # k C-t-ECfc-( Erip.: `4
Adc ress: ``��� 1J Zl � City;
State: UT Air CLICe: 3i
Plcne: �i�S`^�o3'�OZCd—t B m a i 1: V4 cA�_ -(Ac_, cJ.(a�:
Canitact/Rep. Nalme: X01- o t�sc>,_3c�> Ahanle: Hmaiil:
MFtclianiczICantra(tclrAL;thetil EdSifjmturcI: Dalte:1 r
E cohyj o) your state registrall.ionl lin( n:le is iuquirec t on fila. If this is the first timeyou have dor a world in tha Cit)l of Rexburg, 1: lease provide
a photo copy ofyour license. j/ you cine unsure if_Hour license is on frJe, [.lease checld with the A a mit T echr icicln by ca lint) (P10161) 3172-X1341.
3. Ilroject De9'criptiarl l
Adc ress: �� i, OV15 _Q4� -ORF Lot h: _ Black #: __-_ S A d ivii iane
Wh al type ail Praplertyl: ❑ R(sidentiadl IA (lammercial
Cast of jab: $_!y
Descripticlr, of wark:
. Rees: (lh (cb a] that apply:
❑ flu rnalae ar A/C =16 5 ❑ Rinepllace/Solic Huel Bu rnlir gl Unit:
❑ Gals U1ii e V 5 a Bui t -in = $113(1
❑ Water Heater = $(5 a Free-standing) = 9 E 5
❑ M isc(llarnlecros/flet u est ec Inspectian = $1W
Inspectlion fa e s ccu be bunt led ullon request 6 Ei-insllelct fees will be enjoraad if irispeclli( n re9luasts axaeed fee toll als,
AIPPLICANT'S U NATURA CERTIFICATION AIND IMHORIZATION: Und(r penalty oilpanjuryl I heneb;l ci rtify tt ail.I ha)ie mead this application i nd: to a that it ( inllormatian hevein
isconueatand Iswaai balan5linibrmationwhiatmay heneaftarteIiventymainhit arirgibelbnethePlant irg:ndZook itConn imiononAh4CiIyCaurailllarihtCity aflNrxlufig
slall IatrAdfill Ian( cmmact.IagntAoaomplywithatCity negylatiowaact S1at4laws telatin®toAhit Sol jactmatic olAhis applioationand I Era byaulhoulaedraflraseitathe: oil Ahit
City AT eniet upon the above-nianlioned pr(1 ertlA ill ins ei tic is I unpo seg. NOTE: TIE building a Maiai may revoke a panmit a appto, at is sued undau Aha pttav: ions of the 3012
Intennat io: a I Coda in (aaas a fan) I .h1se stat enna r t ou mime[ r c s erN; ti( in oil fad in the all llliaa tia a of on the plans on whit t 111 e pa rm it or appnovaI was I a so d, Permit void ifl r oA
:itarti d within 180 dt 31s. Pet mil void iImiarl stol s Ilnt 380 days.
Applicarit's 1` ame (ppdinit): iprnatur(1: Dade: C7
If s pa(I ions must t e ( alta d in I d fore BAN an i ha day it a ins peatio n is AcquesA ed. In spa (I ion ne( ui st: i Elled in aft a n 8 AN wilt t e s cl aduded fo 1 tt a na at I bu: ine! s (lay.
Ins peatiaatatdine-(:(8):12.21,15 vwviraxbmg.ang PermitTnohninian- (308)372.3341