HomeMy WebLinkAboutAPPLICATIONS - 06-00546 - 553 S 4th E - New SFR11f01I2007 16:2 28ou52'%-1j453 El
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CITY OF REXB
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WCHANICAL PERLIIT APPLICATION
19 E MAIN, REXBURG, ID. 83440
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LEISURE TIME INC
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CONTACT PHONE #
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PHONE #: Home ( ) Work ( ) Cell
OWNER MAILING ADDRESS: CITY: STATE,.ZJF.-
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APPUCANT MORMATION., ADDRESS CITY:
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PHONE #: Home ( ) Wank ( ) Cell ( )
PHONE: Home# w0i
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How many buildings alt lomtrd an ids property?
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Did you recently purchase this property? No Yes (If yes give owner's name)
Is this a lot split? NO YRS (PIcam bring copy of new legal descTiption of property)
PROPOSED USE:
(i.e, Single Family Residence, Muld Family, AP "I, Remodel, GvQe6 Comm K Addition, Em&)
ft 9 . & a 111 4, 11 i
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Do you prefer to bc coat-nc by fax, cm -ail or phona? cimje Dna
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Plan #mss are mon-refundable ind are pold in iyffi iit the timc nfsppurat4an 6eglsning
Ctry of acxh 'K AMptAaea of thg plal rjavilow he don not eain0ftio ptau appravir3
11/01/20a7 16:42 20852"4538
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LEISURE TIME INC PAGE 01/02
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PROPERTY ADDnSS-` Ir
doSUBDIYBION
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Mechanical Conuactor'g Name:
Address
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Fumaer, Dcbaust oDuets
Fumce/Air Conditioner Combo
Hcot FMP
Air Conditioner
Rvapo�ve Cooler
Unit Heater
Space Heater
Decorative gasftacd applce
kaincrator, SyAm
Boiler
Pool Heater
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Dryer vents
Range Hood Vents
Cook Stove Vents
Beth Fan Vents
other similar vanty & ducts;
]Fuel Gas Pipe Oufleta including stubbed in or ffilua outlets
Beat (Carle all that apply) Gas Oil Coal FirOplace Eleetczc Hydronio
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