HomeMy WebLinkAboutAPPLICATION - 05-00055 - The Village Apartments - Bldg 10 15 UnitsCFFY Or
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MIER.ICAS FAMILY COMMUNITY
19 E. Main St.
Rexburg, Idaho 83440
Phone: 208-359-302[] x326
Fax. 208-359-3024
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APPLICATION: " CONSTRUCTION PERMIT"
CONSTRUCTION PERNUT #:Q 6 Cnn�6
PERMIT APPROVED: YES/ NO $50.00 FEE PAID:
-APPLICANT INFORMATIOiV:
BUSINESS NAME:
OFFICE ADDRESS:
YES/NO
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City
OFFICE PHONE NUMBER:
CONTACT PERSON: CAA-tv_(9&j A,�;e,
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State Zip
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CELL PHONE
-LOCATION OF WORK TO BE DONE:
STREET AD -DRESS WHERE WORK WILL BE DONE:
BUSINESS NAME WHERE WORK WILL BE DONE,
DATES FOR WORK TO BE DONE
CONTACT PERSONs.,0Ama vQ
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PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR:
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L< AUTOMATIC FIRE -EXTINGUISHING SYSTEMS
Ll COMPRESSED GASES
FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT
❑ FIRE PUMPS AND RELATED EQUIPMENT
❑ FLAMMABLE AND COMMBUSTIBLE LIQUIDS
❑ HAZARDOUS MATERIALS
El INDUSTRIAL OVENS
❑ LP -GAS
Ll PRIVATE FIRE HYDRANTS
El SPRAYING OR DIPPING
LJ STANDPIPE SYSTEMS
❑ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES
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