HomeMy WebLinkAboutAPPLICATION - 05-00057 - The Village Apartments - Bldg 12 18 UnitsCITY UF
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"�.�����'�'` NMERiCA'S FAMILY CQ�..�t�iuN1TY 19 E. Main St. Phone: 208-359-3020 x326
Rexburg, Idaho 8344 Fax: 208-359-3024
www. rexlaura_ orc� cdd@rexburg.arg
APPLICATION: " CONSTRUCTION PERMIT"
CONSTRUCTION PERMIT #.'
PERMIT APPROVED: YES/ NO
-APPLICANT INFORMATION:
BUSINESS NAME.9
OFFICE ADDRESS: ? i t
city
APPROVED BY:
A
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OFFICE PHONE NUMBER: Z4 c�
CONTACT PERSON: CarvcacN
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$50.00 FEE PAID: YES/NO
c-4 0 FA rc 5 13' 6101
Zip
CELL PHONE ) 5a-0-si3fz
-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: OAm(2,OQ
PHONE NUMBER: (ac%
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TO 3 / r / a(:i,.
CELL#(ao�-,-y�y
PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR:
AUTOMATIC FIRE -EXTINGUISHING SYSTEMS
COMPRESSED GASES
9 FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT
El FIRE PUMPS AND RELATED EQUIPMENT
❑ FLAMMABLE AND COMMBUSTIBLE LIQUIDS
❑ HAZARDOUS MATERIALS
Ll INDUSTRIAL OVENS
El LP -GAS
❑ PRIVATE FIRE HYDRANTS
Lj SPRAYING OR DIPPING
El STA NOPIPE SYSTEMS
❑ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES
319/oS
1 4'APPLICANTS SIGNATURE DATE
0■_ M■ 1 M■■ M i■■■ MEER■■■ M■■■■ MOREMENs N NOMONKM M m m m r u m m m u m m m ■ o t m m m m m m a MR E m m# m■ ■: ERNE t■■ w 1 t■ 'I