HomeMy WebLinkAboutAPPLICATIONS - 04-00106 - 417 S 12th W - AdditionAPPLICATION FOR REXBURG CITY SERVICE
NAME� c� kA L. SfQ,+ �.e,r
ADDRESS 417 S w
PLUMBER �� S
PROPERN OWNER JOB-►�- �—• S4-�n-ev000'-
WATER SERVICE: Type Size
Water Connect......
_
Water Meter .......
_
Meter Box .........
_
Ring & lid .........
_
Curb Stop .........
_
Senor..............
_
Sewer Connect .....
s
TOTAL ............
_
In City. t/ Out of City
Storm Drains — $
APPROVED BY
BUILD*G PERMIT APPLICATk* HEXBUHG,ID a..E�-Oq NO.
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
OWNER Jo kh f • .S► ± n ej� .JOB ADDRESS L4 (-1 S . 14 � PHONE 61SU--
BUILDER , �h (Il.h �,,.. .1'4 fit, v�¢-.r ARCHITECT .�,tA,-) y1 J e.VX S -ems DESIGNER SV'ZL- b
STRUCTURE: O NEW O REMODEL ADDITION 0 REPAIR O RENEWAL O FIRE DAMAGE
RESIDENCE
❑ COMM. ❑ EDUCATIONAL ❑ GOVT ❑ RELIGIOUS ❑ FENCE
O PATIO ❑ CARPORT O GARAGE O AWNING
FOOTINGS
FOUNDATION
BASEMENT
FLOORS
EXT. WALLS
INT. WALLS
CEILING
ROOF
HEAT
INSULATED
CONCRETE
j$(CONCRETE
O PARTIAL
WOOD
I
O WOOD
O WOOD
O WOOD
O BUILT UP.
GAS
'aWALLS
O MASONRY
O OTHER
(3 MASONRY
O OTHER
O FULL
g(NO
CONCRETE
O OTHER
O MASONRY
O CONCRETE
0 MASONRY
O CONCRETE
ELDRYWALL
0 PLASTER
O WOOD SH.
COMP. SH.
UOIL
O COAL
CEILING
FLOORS
O VENEER
DRYWALL
O TILE
TILE
O FIREPLACE
PERIMETER
J4 METAL
Q PLASTER
O ACOUSTIC
O ROLL ROOF.
O ELECTRIC
O STUCCO
10 TILE
0 OPEN
0 METAL
This permit is issued subject to the regulations contained in the Uniform Building Code and Zoning Regulations of Rexburg, and It is hereby agreed
that the work to be done as shown In the plans and specifications will be completed in aeeordanc�-t�i�ttl�s"
pertaining and applicable thereto: The Issuance of the permit does not waive restrictive covenants=- J
REMARKS:
DEPARTMENT OF BUILDING & ZONING L__ _'_----••.•- .•:` . =-_--_., _- -
VALUE 3 S. & 40-1
FEE PAID CASH APPLICANT
CHECK
BUILDING DATE ADDRESS
INSPECTOR
WHITE -Owners Copy CANARY -Building Department's Copy PINK -Assessors Copy GOLDENROD -Inspector
CITY OF REXBURG
APPLICATION FOR PLUMBING PERMIT
OWNER
Name
Address Tel
Lot Blk. Add.
PLUMBER
Name
Address Tel.
NATURE OF INSTALLATION
Use
Rough Plumbing
Septic Tank
Fixtures
Water Piping
Complete
Sewer
DESCRIPTION OF WORK
Bath Tubs
Urinal
Showers
Sink Trap
Laundry Trays
Water Heater
Wash Basin
Other
Toilet
Slop Sinks
Kitchen Sinks
Floor Drain
Drinking Fountains
Lawn Sprinklers
Water Softeners
Dish Washing Mach.
Clothes Washer
FEES
Plumbing Permit ....................$
Sewer Inspection ....................$
Inspection of Pipe ................... $
Inspection of Fixtures ................$
$
$
$
TOTAL $
Received: Date
By
INSPECTOR'S RECORD
N
PA 0
W MAR 16 2004 E
INSP. NAME
Rough Plumbing
Sewer
Other
Finish Plumbing
City of Rexbur
Permits and Licenses
Buildine Permit
'Ihe building permit application requires payment of the following:
-l) Building Permit — calculated on the size of the building by square feet
2) Plumbing Permit for Non -Commercial — calculated using number of fixtures
3) Plumbing Permit for Commercial — cost. of plumbing calculation
4) Water and Sewer Permit — calculated by type of occupancy
5) rater Meter and Parts — calculated by the size of the water line
6) Frontage Fees (If required by the Public Works Department)
Business License-'$20.00 annual fee with $10.00 inspection fee
r
Contractors License - $20.00 annual fee
City of Rexburg Services - Required Services - (359-3020 Ext - 0)
Service for Garbage
C-arbage collection for Residential = City supplies up to a 90 gallon bin
Garbage collection for Commercial - Purchase a garbage 0iii
*Service for Water and Sewer _
Contact City of Rexburg to sign up for water and Sewer services