HomeMy WebLinkAboutAPPLICATIONS - 07-00049 - 137 S 4th W - MechanicalFEB-13-2007 TUE 02:49 PM FIRST CALL JEWEL
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CITY OF BF23 URG'''
FAX N0, 12085292793
PERMIT # V
P. 02
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BUILDING PERMIT APPLICATION
19 E MAIN, REXBURO, ID. 93440
208-359-3020 X322
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PARCEL NUMBER:'--L '
SUBDIVISION: L
(Addressing is based on the information - must be accurate)
PROPERTY
0700049
137 S 4th W-Mechanical
PHONE
PHONE 9: Homc ( ) 25h-7,,:�// work ( ) Cell ( )
OWNER MAILING ADDRESS: CITY:1�� STATE•,� ZIP: 't D
EMAM FAX
APPLICANT: (If other than
(Applicant if other than owner, a s
acr as ae-catforowner meat accompany this application)
APPLICANT INFORMATION: ADDRESS �,Q 0,4 `Hire CITY 'r4
STATE; ZIP ' D EMAIL,
PHONE #: Home (
Work ( Cell ( )
How many btaldino are located on this property:?
Did you recently purchase this property? No Yes (If yes give owner's name)
Is this a lot split? NO YES (Please bring copy ofnew legal description ofpropeny)
PROPOSED USE:
(i.e., Shtgle Family Residence, Multi Family, Aper®mts, Remodel, Garage, Commercial, Addition, Eta)
APPLICAATT'S SIGNATURE, CERTEICATTON AND AUTHORIZATION: Undepenatyofplalry.Ihemby= fy+hmi
have rod this application and stnetbx the iofonodoa bmum is conic: and I sweralhad my 4&MIsim which may bcwftr be'ven by me in hearings before M
Planning aid Zoning Commission erthc City CognoO forthe City of Rasbun dmg be mnhad and mrect. I agree no mmply whb all City regdazinns and Statc laws
misting to the subject mnnar DEWS application and hereby eulhorind repzeaaiMUM of the Clty to eamt aped one above-msrdonod PropCM for iaopocdics pmposat.
NOTE; The building official may myokc a permit on approval issued ender the prrrvlslona Of the 2400 IOGmanoW COdc to earns of iron frdec alammeni or
misrepresenratign offscclo the appucanon or on the plans on which the permit or approval wan bawd. Permit void ifom staled wultin l9a days. Pamirvoidifwork
stops for 180 days-
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Do you prefer to be contacted by fax, email or phone? Circle One
WAMANG— BUILDING PERNAT WAIT BS POSTED ON CONSTRUCTION SMI
Plam fees an sea-refnndahle and are paid in fhil at the time of appllcatloa bs&aing y7aaamr f. 204M
City of Raahnry's Acceptance of the plan revises fee does got oaattllats 111310 appraral
FEB-13-2007 TUE 02:49 PM FIRST CALL JEWEL FAX N0, 12085292793 P. 03
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Please complete thelecitire Application! uthe qumfloA A�uat appiY flll to NA for nun
applicable
NAME
PROPERTY ADDRESS Per�ait#
SUBDMSION
Required111 MECHANICAL
Mechanical Contractor's Name: � Business Name: �
Address a Caty'r,s2 e o
Contact Phone: ( ) Business Phone: ( ) ,'S a - 7 7 7 7
Email Fax .,�! a —.a2CL � • . — -
Mechanical Estimate S (CommbreiaY-Multi Fsn* Only)
FUSES A APPLIANCES COUNT (Single Fandly .Dweftg Only}
Furnace, Exhaust or Vent Ducts
Fumcz/Air Conditioner Combo
Hcat Purap
Air Conditioner
Evapo=dve Cooler
Unit Heater
Space Heater
Decorative gss�fired appliance
Incinerator cyst=
Boiler
Pool Hcata
Simflu fl=es or Appliances
Fuel Gas Pipe Outlets including stubbed an or future outlew
Inlet Presme (Meter Supply) PSI
Heat (Circle all that apply) (!�p Oil Coal, FircpIace Electric
Drycr Verna
Range Hood Voto
Cook Stove Vents
Bath Fan Vents
other si=jar vents & ducts:
Mechauical Sizing Calculadow trust be submitted with Plans & Application
Point ofDelivery must be shown on plans.
Slpanre of Liconsed COnt=t& Licenso mmber Dam
Required!
The City of Rexbwg's perm tfae schedule is the same x rewired 0 the State ofldaho
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P. 1 .
x x x Memory TX Result Report ( Mar. 7. 200*110'9:51AM)
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Date/Time: Mar. 7. 2007 9:50AM
file
No. Mode Destination Pg(s) Result
--------------------------------------------------------------------------------
3818 Memory TX 5292793 P. 1 OK
----------------
Reason for error
E.1) Hang up or line fail E.2) Busy
E.3) No answer E.4) No facsimile connection
E.5) Exceeded max. E—mail size
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PERM IT APPLICATION INVOICE
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Appuune pidi ans. and .i: 197$mHW
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TM1i fa0erinp fi6 amaunl, far this permit apppiiloa am unpaid at MIS Man:
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$8500
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