HomeMy WebLinkAboutPERMIT APPLICATIONS - 04-00095 - Eagle Rock Dental',F4 a i § j of
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APPLICATION FOR PLUMBING PERMIT
OWNER FEES
Name
Address Tel.
Lot B 5 . Add.
PLUMBER
Name
Address Tel.
MATURE OF INSTALLATION
Use
Rough Plumbing
INSP. NAME
Septic Tarry
Fixture
Water Piping
Complete
er
DESCRIPTION OF WORK
Bath Tubs
Showers
Laundry Trays
'mash Basin
Toi I et
Slop Sinks
Kitchen Barks
Floor Drain
Drinking Fountains
'mater Softeners
Dish "Mashing Dash.
Clothes 'cashier
Urinal
Sink Trap
Water Heater
Other
Lawn Sprinklers
Plumbing Permit ■ ............. , .. ■ ■ ■
Sewer Inspection .■.■■.■■.■t■F■r■a■■i -
Inspection f Pip r r 4 r F r r r r r. P ■ ■ ■ ■
Inspection Fixtures . ■ ; .. ... F ......
TOTAL
Received: Date
B
r
" r K$ -
INSPECTOR'S RECORD
N
M
E
BUILDING PERMIT APPLICATIdN REXBURG,ID DATE Na:
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN! INDICATED
TE
R AS SHOWN AND APPROVED IN THE ACCOMPANYING PANYI PLANS .AND SPECIFICATIONS.
OWNER JOB ADDRESS PHONE
BUILDER ARCHITECT DESIGNER
STRUCTURE: NEW U .REMODEL U ADDITION El REPAIR E E ''AL Q FIRE E
Ll RE IDE J E Ll COMM. Ll EDUCATIONAL C2 GOVT Q RELIGIOUS FENCE C] PATIO Q CARPORT U GARAGE Lj AWNING
U CONCRETE
CiMASONRY
U OTHER
C) CEILING
Q FLOORS
Ll PERIMETER
Thispermitis issued subject to the regulations contained in the Uniform Building Code and Zoning Regulations of Rexburg, and itis hereby agreed
that the r . to be doneshown in the p1 ans and specifications. ]I be com pl t 'in, accordance with the regul do
pertaining and applicable thereto; The issuance of the p rmft does not wage restrictive covenants.
REMARKS.
DEPARTMENT OF BUILDING & ZONING
VALUE
FES PAID
BUILDING
INSPECTOR
Q CASH
Ll HE
DATE
APPLICANT
ADDRESS
MITE—Owner's Copy NAR —Building Department's Copy PINK—Assessc(s Copy GOLD ENROD-in p t r
ADDRESS
PLUMBER
APPLICATION FOR REXBURG CITY SERVICE,
G�
C .(-Tie Pt
40
PROPERTY OWNE
WATER. SERVICE:
Water Meter .■ ; .. + .
Meier Box.■+.....w '�
Ring & Lid
Curb Sfop■ + +�`
Setter. 0 #■ ■ r 1 f 0 * e ■ ■ a !
Sewer Connect`+
® Asa
Storm Drains — $
FEB 2 .r 2D04
PAID CASH
�o
Out of City
4
ZT4W (<04�
INSP. NAME
Rough P1 imbing
Sewer
Other
Finish Plumbing
7
BUILDING PERMIT APPLICATIdN REXBURG,ID DATE Na:
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN! INDICATED
TE
R AS SHOWN AND APPROVED IN THE ACCOMPANYING PANYI PLANS .AND SPECIFICATIONS.
OWNER JOB ADDRESS PHONE
BUILDER ARCHITECT DESIGNER
STRUCTURE: NEW U .REMODEL U ADDITION El REPAIR E E ''AL Q FIRE E
Ll RE IDE J E Ll COMM. Ll EDUCATIONAL C2 GOVT Q RELIGIOUS FENCE C] PATIO Q CARPORT U GARAGE Lj AWNING
U CONCRETE
CiMASONRY
U OTHER
C) CEILING
Q FLOORS
Ll PERIMETER
Thispermitis issued subject to the regulations contained in the Uniform Building Code and Zoning Regulations of Rexburg, and itis hereby agreed
that the r . to be doneshown in the p1 ans and specifications. ]I be com pl t 'in, accordance with the regul do
pertaining and applicable thereto; The issuance of the p rmft does not wage restrictive covenants.
REMARKS.
DEPARTMENT OF BUILDING & ZONING
VALUE
FES PAID
BUILDING
INSPECTOR
Q CASH
Ll HE
DATE
APPLICANT
ADDRESS
MITE—Owner's Copy NAR —Building Department's Copy PINK—Assessc(s Copy GOLD ENROD-in p t r
ADDRESS
PLUMBER
APPLICATION FOR REXBURG CITY SERVICE,
G�
C .(-Tie Pt
40
PROPERTY OWNE
WATER. SERVICE:
Water Meter .■ ; .. + .
Meier Box.■+.....w '�
Ring & Lid
Curb Sfop■ + +�`
Setter. 0 #■ ■ r 1 f 0 * e ■ ■ a !
Sewer Connect`+
® Asa
Storm Drains — $
FEB 2 .r 2D04
PAID CASH
�o
Out of City
4
ZT4W (<04�