HomeMy WebLinkAboutAPPLICATIONS - 04-00096 - 227 S 4th W - AdditionAPPLICATION FOR PLUMBING PERMIT
OWNER FEES
Name I
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Address
_
le, Te. I. Sewer Inspection Il
Lot B I k• _. Add. Inspection f Pipe r . . e . • r R ■ ■� � F i ■ ' a ■ * F $
PLUMBER _
Name
Address TI.
NATUREOFINSTALLATION�.a(p 1. 4 p .
TOTAL :.
Use19AIP
Y
Received Date
Rough Plumbing
Septic Tema.
Fixtures Water piping
INSPECTOR'S RECORD
Complete Sewer .
N
DESCRIPTION OF WORK
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BU ILDING PERMIT APPLIC�ATIU-N REXBURG, Io DATE %`��o-D � `No.
THE UNDERSIGNED HEREBY PPLI E FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR S SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
OWNED JOB DDRES PHONE
BUILDER ARCHITECT DESIGNER
STRUCTURE: U NE REMODEL Q ADDITION Q REPAIR I REI E AL C3 FIRE DAMAGE
RESIDENCE C) COMM. 0 EDUCATIONAL D GO'A'T Ll RELIGIOUS ❑ FENCE ❑ PATIO RPORT GARAGE IJ AWNING
FOOTINGS
FOUNDATION
BASEMENT
FLOORS
EXT. WALLS
INT. WALLS
CEILING
'ROOF
HEAT
INSULATED
1A CONCRETE
XCONCRETE
❑PARTIAL
l] WQQQ
D WOOD
Chi WQC3b
L] WOOD
❑ BU1LT UP
❑GAS
WALLS
❑ iulASaNRY
U MASONRY
FULL
CONCRETE
I'D
D.MASaNRY
O MASONRY
DRYWALL
C] 1NC1OD SH.
❑ OtL
OCEILING
Q OTHER
0 OTHER
Q NO❑
OTHER
CONCRETE
LJ CONCRETE
10DRYWALL
PLASTER
i� SH.
IJCOALQ
FLOORS
VENEER
'rJ TILE
.COM?
€] TILE
D FIREPLACE
U. PERIMETER
Q MEAL
❑PLASTER
[] ACOUSTIC
Q RILL R[]DF.
� ELECTRIC
05`fIJCCO
O TILE
❑ OPEN
❑METAL
Thi.s perI it is issued subject to the regulations contained in the Unfform Building Code and Zoning Regulations of Rexburg, and it is hereby agreed
that the work to be dome as shown in th e pleas and specif1cat nwill be compl t d in accordance with the regulations
pertaining and applicable thereto; The issuance of the perms does not wive restrictive covenaent .
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REMARKS:
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i
DEPARTMENT TMENT F BUILDING NI G
VALUE
FEE PAID
BUILDING
INSPECTOR
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- CASH # # UC.iT '-? c.' iF''.�r•�:.:°.��ra�Ll���rr.=+af4-+....-`w■,+k*�+•b'at+Y+�i:4.Y±+�ase�,.. �,...m:-,u�.r.� -
CHECK
DATE ADDRESS
WHITE—Owner's Copy CANARD`—Building Departmenfs Copy PINK—Assessor's Copy GOLDENROD -Inspector
PLUMBER
APPLICATION FOR REXBURG CITY SERVICE'
A z
PROPERTY OWN-ER,.,TMD<,1K1
WATER SERVICE: Type
Water Connect, t . i 1 i
Water fifer
Maier
ii l ■ * If i� l
Ring
Curb Stop
Setter.
Sewer Connect
TOTAL.qpi i*■4P
40 $
-rL
In City
Storm Drains --
a 5 11,,
"PROVED BY
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