HomeMy WebLinkAboutPERMIT APPLICATIONS - 04-00097 - Upper Valley OptionsAPPLICATION FOR PLUMBING PERMIT
OWNER FEES
Name
- Plumbing PFJr1 1: dlit r * � ■ * r � • r i r s ■ ■ a
Address Te I. Sewer Jnspection .................... $
Inspection of Pi
ipe .................... $
_ y
PLUMBER Inspection of Fixtures ...... $
Name
Ad d re&s Te I.
NATURE OFANSTALLATION
TTL
Use
Fixtures Water Piping
unmplotp �
DESCRIPTION QF WORK
Received: Date
BY—
INSPECTOR'S RECORD
W
BUILDING PERMIT APPLICATI UN RID DAT
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHAWN AND pppRpWEp IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
NE,
BUILDER
STRUCTURE:
• - �I .fit ��� �...�
NEW
Ll REMODEL
JOB ADDRESS
ARCHITECT
ADDITION
'13 REPAIR
PHONE
DESIGHF;R
0 RENEWAL
■
T Ll F1ELI1�.1 F�N� � .f�Tl � RI��T
FOOTINGS FOUNDATION E. E NT FL GARAGE L] AWNING
R EXE: 'I WALLS INT. 'BALLSCEILING ROOF H
EAT INSULATED
CONCRETE (i CONCRETE PARTIAL Q WOOD (i WOOD
LJ NR FALL N ET 0 WOOD WOO[ BUILT UP. GAS 3 WALL
MASONRY MASONRY DRYWALL
�.� TI--IEFC OTHER � i U til--�EI� 0 CONCRETE L11 WOOD I --I. �] SIL
CONCRETE CI PLASTER MR. Q OO
�f REER Cl I�F��LL � H. L� I� SLR
�. TILE D TILE FIREPLACELl PERIMETER
METAL ELAS TE R ACOUSTIC LJ ROLL RODE.
- TLS � ELECTRIC
TILE Q OPEN METAL
This permit is issued subject to the regulations
contained in the Uniform Bonding Code and Zoning.Regulations of Rexburg, and .
t is hereby agreed
that the work to be done as shown in the plans
d specifications will be corn0eted in accordance with the regulations
pertaining and applicable thereto. The issuance of the rmt I waive
tve covenants-
REMARKS
nt -REMARKS
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VALUE
17117C7 n 1M
BUILDING
INSPECTOR
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ir
Fes..
PLUMBER
APPLICANI
DATE
■ FF 1pIL;t%_e01lWr "Z % VrV UULD t[IHuiJ-In p for
APPLICATION FOR REXBURG CITY SERVICE
me
s'f"oc t<W .5;
�e
WATER SERVICE: Type_.. Size
t � 1
Water Connect. , } In Cit Out of City
Water r Meter .. i . r ..
dd3
Meier Box
Ring & L i 1p * to r ■ +* r-■
Curb l o Setie
r ■ i it r -.5 3
FE13
1-1 3
Sewer Connect
'40
/10a ROVED' BY
TOTAL., APP