HomeMy WebLinkAboutAPPLICATION - 05-00058 - The Village Apartments - Bldg 13 12 UnitsCITY OF
f --,EXBURG
19 EF Main St.
Rexburg, I d 83440
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APPLICATION: " CONSTRUCTION PERMIT"
CONSTRUCTION PERMT
PERMIT APPROVED: YES/ NO
-APPLICANT INFOR,ATION:
BUSINESS NAME: SHY_
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APPROVED RV., J:-
FFICE
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OFFICE PHONE NUMBER; (,7d ) 5-,
CONTACT PERSON: CaM�eN
State
Phone: 20$-359-320 x326
Fax: 208-359-3024
cdd@rexburg.org
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X50.00 FEE PAID: YES/NO
CELL PHONE #
-LOCATION OF WORK TO BE DONE:r
STREET ADDRESS WHERE WORK WILL BE DONE:
BUSINESS NAME WHERE WORK WILL BE DONE
DATES FOR WORK TO BE DONE: 3
CONTACT PERSON;
PHONE NUMBER:
CELL # (go� )
PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR:
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� AUTOMATIC FIRE -EXTINGUISHING SYSTEMS
Ll COMPRESSED GASES
X� FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT
D FIRE PUMPS AND RELATED EQUIPMENT
❑ FLAMMABLE AND CONIMBUST.IBLE LIQUIDS
❑ HAZARDOUS MATERIALS
C INDUSTRIAL OVENS
❑ LP -GAS
F PRIVATE FIRE HYDRANTS
El SPRAYING OR DIPPING
❑ STANDPIPE SYSTEMS
❑ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES
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APPLICANTS
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DATE
A 0 0 a E N N 0 E X f K M■■ 0■ a ON
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