HomeMy WebLinkAboutAPPLICATIONS - 04-00105 - Pro-Fusion_Amet - RemodelBUILDING PERMIT APPLICATION REXBURG, 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 .5.�[r,-c-.ira �ML, JOB ADDRESS PHONE
BUILDER jYi .I YfJ i'' ARCHITECT DESIGNER
STRUCTURE: ❑ NEW LYREMODEL O ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE
❑ RESIDENCE COMM. ❑ EDUCATIONAL ❑ GOVT ❑ RELIGIOUS ❑ FENCE ❑ PATIO ❑ CARPORT O GARAGE C3 AWNING
FOOTINGS
I FOUNDATION
I BASEMEN
I FLOORS
I ExT. WALLS
I INT WALLS
I CEILING
ROOF
HEAT
INSULATED
❑ CONCRETE
❑ CONCRETE
❑ PARTIAL
❑ WOOD
❑ WOOD
❑ WOOD
❑ BUILT UP.
❑ GAS
O WALLS
Q MASONRY
❑ MASONRY
❑ FULL
❑ CONCRETE
❑ MASONRY
NRY
❑ DRYWALL
❑ WOOD SH.
❑ OIL
0 CEILING
❑ OTHER
❑ OTHER
❑ NO
❑ OTHER
I] CONCRETE
RETE
O PLASTER
❑ COMP. SH.
ID COAL
❑ FLOORS
❑VENEEfl
@DRYWALL
❑TILE
❑TILE
❑FIREPLACE
❑PERIMETER
❑ METAL
ER
T$ACOUSTIC
❑ ROLL ROOF.
0 ELECTRIC
❑ STUCCO
OPEN
❑ METAL
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-Omer's Copy CANARY -Building Department's Copy PINK-Assessoes Copy GOLDENROD -Inspector
Name
Address__
Lot Blk.
Name
Use
CITY OF REXBURG
APPLICATION FOR PLUMBING PERMIT
OWNER FEES
Tel.
Add.
PLUMBER
Tel
NATURE OF INSTALLATION
Rough Plumbing
Septic Tank
Fixtures
Water Piping
Complete
Sewer
DESCRIPTION OF WORK
Bath Tubs
Urinal
Showers
Sink Trap
Laundry Trays
Water Heater
Wash Basin
G
Other
Toilet
Slop Sinks
Kitchen Sinks
Floor Drain
Drinking Fountains
Lawn Sprinklers
Water Softeners
Dish Washing Mach.
Clothes Washer
Plumbing Permit • ........... • • • • • • $
Sewer Inspection ....................$
Inspection of Pipe ............. • • • • • • $
Inspection of Fixtures ...... • • • . • • • • • • $
$
$
Received: Date
By —
Rough Plumbing
Sewer
Other
Finish Plumbing
TOTAL $
INSPECTOR'S RECORD
N
I
INSP NAME
E