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HomeMy WebLinkAboutAPPLICATIONS - 07-00049 - 137 S 4th W - MechanicalFEB-13-2007 TUE 02:49 PM FIRST CALL JEWEL Jbl, l9, au) f:Llrm CITY OF BF23 URG''' FAX N0, 12085292793 PERMIT # V P. 02 nv, V7C7 • L BUILDING PERMIT APPLICATION 19 E MAIN, REXBURO, ID. 93440 208-359-3020 X322 Please o6. e,.+irc A nnlit-afinn / If the qt 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- - - - _.1-`I I DD y� 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 v u i. I.;. L V V .O L• L G i iti 01 W. v i i� 1• Id 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 5 P. 1 . x x x Memory TX Result Report ( Mar. 7. 200*110'9:51AM) n z) 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 . RFJ03ilRG a''°"b°� m.mm.m.rc.mmaniya.,e.m.at .F 1.S.8- flntinsad u) monspnelaeevm/r�(iPj 99P8012 PERM IT APPLICATION INVOICE mwm. Dai ewmad' srF.i; .� •wl� umvl�1 TS.i Appuune pidi ans. and .i: 197$mHW ilp NORnI0,kM IAE unsM.9. m a WFA111i.O6Alm TM1i fa0erinp fi6 amaunl, far this permit apppiiloa am unpaid at MIS Man: a {t" m.an..i-fwam.mi,i em.m. U=2 $8500 T..n sps ReaIYI Page Not Sent