HomeMy WebLinkAboutAPPLICATION - 05-00054 - The Village Apartments - Bldg 9 21 UnitsCITY OF
Rexburg, Idaho 83440
www. r q.Org
APPLICATION: " CONSTRUCTION PERMIT"
CONSTRUCTION PERMIT
PERMIT APPROVED: YES/ NO
-APPLICANT INFORMATION:
BUSINESS NAME:
OFFICE ADDRESS:0
le -11 L A
City
OFFICE PHONE NUMBER: (o,0go)
CONTACT PERSON: CA^4v,0AJ ,"�y
APPROVED BY:
state
�a
Phone- 208-359-0 0 x326
Fax: 208-359-3024
dd 9 rexb ur. , or
$50.00 FVE PAID: YES/NO
1-42. FA �.
;p
CELL PHONE#
-LOCATION OF WORK TO BE DONE,
STREET ADDRESS WHERE WORK WILL BE DONE:
BUSINESS NAME WHERE WORK WILL BE DONE:
DATES FOR WORK TO BE DONE::
CONTACT PERSON: 61li-mAoQ
Dun
rnvivc IYUIYICGR: 3�-(� /- 0
U
CELL# (_�a o )
PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR'.
::� ��o - 5- c;
6 AUTOMATIC FIREmEXTINGUISHING SYSTEMS
❑ 'COMPRESSED GASES
FIRE ALARM AND DETECTION SYSTEMS AND: RELATED EQUIPMENT
❑ FIRE PUMPS AND RELATED EQUIPMENT
❑ FLAMMABLE AND COMMBUSTIBLE LIQUIDS
Q HAZARDOUS MATERIALS
IJ INDUSTRIAL OVENS
❑ LP -GAS
❑ PRIVATE FIRE HYDRANTS
n SPRAYING OR DIPPING
El STANDPIPE SYSTEMS
❑ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES
APPLICANTS SIGNATURE
3 os
nATr:
F
APPLICANTS SIGNATURE
3 os
nATr: