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Home My WebLink AboutAPPLICATIONS - Celestial Village Levels 2, 3,4 - Weststates DIV1 - Mariah AveAPPLICATION FOR BUILDING PERMIT CITY OF REXBURG, IDAHO Date of Application I (, d� Permit No. OWNER Name -for 04 Site Address Mailing Address City/State/Zip Telephone/Fax/Mobile CONTRACTOR Name 1Mmiling Address b • R v� Z City/State/Zip Telephone/Fax/Mobile PROTECT INFOPMATICIN DEPARTMENT APPROVAL Property Zone: Is existing use compatible with zoning, (screening parking, When was this building last occupied AU / 4 Architect/ Engineer Firm /( j -p,./ di Sc Plan Subdivision Lf�31"(fZ�T Lot �_7 Block i% Circle One esidentia Commercial Educational Government Remodel Other Circle One ew Hous Addition/Remodel to House New Commercial Commercial Remodel Circle One Basement: one Finished / Unfinished Other: None/ Patio/ Carport/ Awning N/A Lot Square Footage .5- ST A Lot Width Square Feet(o W P Gt.►vf=farage Square Feet /U1* Number of Stories_-_ Height of Building What will structure be used for: Home Home Business Apartment Commercial Other Will there be an apartment?_ J1?tul-?-�,�,,�, z�� ,hs►2rtre� lr-bTf so, how many units 1p Total Estimated Cosr� �'� "Z� �ts0 Are you in a flood plain Signature of Code- Zone- Building odeZoneBuilding Type Signature of Issued by Building Permit Fees Plan Check Fees Plumbing Permit Fees Digging Permit Fees Water & Sewer Fees Front Footage Fee TOTAL S BUILDING PERMIT APPLICATION REXBURG, ID DATE NO. THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER 1 b yn 14"0 LL. I D SJk JOB ADDRESS _51q Y5 1 7 (, ^ale J1 It PHONE Z,0 K BUILDER [L�S�,1 Sls t��cUS Jit CO-; S y ARCHITECT (-�} LTl1,. Z}(( ^, r3 DESIGNER STRUCTURE: NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE RESIDENCE ❑ COMM. ❑ EDUCATIONAL fl GOVT F1 RFI IAIOUR I-1 FFNGF I-1 PATin fl r.ARPrIPT n r_apar_G n AWK1 k n FOOTINGS FOUNDATION BASEMENT FLOORS EXT. WALLS INT. WALLS CEILING ROOF HEAT INSULATED CONCRETE ❑ MASONRY YCONCRETE ❑ MASONRY ❑ PARTIAL ❑ FULL 1�`NO WOOD VWOOD CONCRETE j� MASONRY ❑ WOOD ❑ WOOD ❑ MASONRY j DRYWALL ❑ BUILT UP.J ❑ WOOD SH. GAS WALLS LJ OIL CEILING 111PERIMETER ❑ OTHER ❑ OTHER OTHER ❑ CONCRETE CONCRETE Q PLASTER COMP. SH. Ll COAL FLOORS ,e ❑ VENEER 6 4i' t DRYWALL ❑ TILE TILE ❑ FIREPLACE ❑ METAL PLASTER ❑ ACOUSTIC ❑ ROLL ROOF. ❑ ELECTRIC ❑ STUCCO ❑ TILE ❑ OPEN ❑ METAL This permit is issued subject to the regulations contained in the Uniform Building Code and Zoning Regulations of Rexburg, and it is hereby agreed that the work to be done as shown in the plans and specifications will be completed in accordance with the regulations pertaining and applicable thereto: The issuance of the permit does not waive restrictive covenants. REMARKS: LE '� Z , `3 r`{ TO rL 0r— go t-4 _1 /Tu � ,`�0 1441 ;—-( ?'e''t L EWL DEPARTMENT OF BUILDING & ZONING VALUE FEE PAID LlCASH APPLICANT CHECK BUILDING DATE ADDRESS INSPECTOR WHITE—Owner's Copy CANARY—Building Department's Copy PINK—Assessor's Copy GOLDENROD -Inspector CITY OF REXBURG APPLICATION FOR PLUMBING PERMIT OWNER Name 10-A MILLAiDA-1 Address Tel. Lot ,�� Blk. Ad d. T3PLUMBER Name Address Te I. NATURE OF INSTALLATION Use MftC&M Wa,- S i,.i CF- 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 D1Se- j 4 Toilet Slop Sinks Kitchen Sinks 1 Floor Drain Drinking Fountains Lawn Sprinklers Water Softeners Dish Washing Mach. Clothes Washer 1 FEES Plumbing Permit ....................$ Sewer Inspection ....................$ Inspection of Pipe ............ • • • • • . • $ Inspection of Fixtures ... • ....... • • • • • $ $ Received: Date By — W Rough Plumbing Sewer Other Finish Plumbing TOTAL $ INSPECTOR'S RECORD N S INSP. NAME E WORK ORDER ACC# RT# PHONE EFFECTIVE DATE DATE NAME S WO&O4 _ I?ArytLSQ,3 J;' SERVICE ADDRESS &ooU 0 Lor WC-i -I t3 MAILING ADDRESS P. d 13,,A ZOO A-S j4ry d 10 Y3 vzi + OWNER �� r-� i t . ��t if PHONE NO. OF PEOPLE ADDRESS EMPLOYER OR RELATIVE WORK PHONE COMMENTS SS# SIGNATURE ❑ IN ❑ READ ❑ RENTING ❑ ON ❑ RE -READ ❑ BUYING ❑ OUT ❑ CHECK LEAK ❑ SELLING ❑ OFF ❑ WTR.SWR ONLY ❑ OWNER ❑ VACANT ❑ GR CONT # ❑ BL CONT. # METER SIZE LOCATION COMPLETED BY DEPOSIT AMOUNT DATE PAID IN REFUND DATE _ AMT REFUNDED _ AMT. APP. BILL GR RT# BIN SIZE NO. OF BINS ❑ ❑ ❑ ❑ ❑ ❑ ISSUED BY ❑ COMPUTER FILE APPLICATION FOR REXBURG CITY SERVICE NAME�►ti. `�t>. D-„1 E�3�sGvLi—%ji�LSu �c �+ •��,'�Gt--c��:v ADDRESS �`� Lit '-I L ter-I�itr%�J ` l S �� t_3 Ah PLUMBER , r PROPERTY OWNER WATER SERVICE: Type Size { A 9 Water Connect...... $ Water Meter ....... _ Meter Box ......... $ Ring & Lid ......... $ Curb Stop ......... S Setter. . ............ $ Sewer Connect ..... $ TOTAL ............ _ In City, Storm Drains — $ APPROVED BY Out of City