HomeMy WebLinkAboutAPPLICATIONS - 04-00103 - Brad Smith Offices - RemodelBUILD .MG PERMIT APPLICATIt?hl RENURG,ID DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
OWNER JOB ADDRESS / W
STRUCTURE: ❑ NEW REMODEL] ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE
❑ RESIDENCE GYEOMM. ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ FENCE ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ AWNING
FOOTINGS
FOUNDATION
BASEMENT
FLOORS
EXT. WALLS
INT. WALLS
CEILING
HEAT
INSULATED
❑ CONCRETE
❑ CONCRETE
❑ PARTIAL
❑ WOOD
❑ WOOD
❑ WOOD
❑ WOOD
cl-BULT UPI
❑ GAS
❑ WALLS
❑ MASONRY
❑ MASONRY
❑FULL
❑ CONCRETE
❑ MASONRY
❑ MASONRY
O DRYWALL
❑ WOOD SH.
❑ OIL
❑ CEILING
❑ OTHER
A
❑ OTHER
.1
❑ OTHER
q
44lnl
❑ CONCRETE
❑VENEER .
❑M
❑�7 NCRETE
rDRYWALL
❑TILETER
❑ DASTER
STILE
❑❑ACOUSTIC
❑ COMP. SH.
❑TILE
❑OPEN❑ROLL ROOF.
❑ COAL
❑FIREPLACE
❑ELE IG
❑ FLOORS
❑PERIMETER
1
This permit is issued subject to the regulations contained in the Uniform building Code and Zoning Regulations of Rexburg, and it is hereby agreed
that the work to be done as shown in the plans and specifications will be completed in accordance with the regulations
pertaining and applicable thereto: The issuance of the permit does not waive restrictive covenants.
WHITE-Ovme/s Copy CANARY -Building Department's Copy PINK-Assesso/s Copy GOLDENROD-Inspedor
CITY OF REXBURG
APPLICATION FOR PLUMBING PERMIT
OWNER FEES
Name Plumbing Permit .................... $
Address Tel. Sewer Inspection ..... ............... $
Lot Blk. Add. Inspection of Pipe ................... $
PLUMBER Inspection of Fixtures ......... . . . • $
Name $
Address Tel. $
NATURE OF INSTALLATION TOTAL $
Use
Rough Plumbing
Septic Tank
Fixtures
Water Piping
Complete
Sewer
DESCRIPTION OF WORK
Bath Tubs
Urinal
Showers
Sink Trap
Laundry Trays
Water Heater
Wash Basin
Other
Toilet
Slop Sinks
Kitchen Sinks
Floor Drain
Drinking Fountains
Lawn Sprinklers
Water Softeners
Dish Washing Mach.
Clothes Washer
Received: Date
By
INSPECTOR'S RECORD
N
PAID
w MAR - 3 2004 E
INSP. NAME
Rough Plumbing
Sewer
Other
Finish Plumbing