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HomeMy WebLinkAboutAPPLICATIONS - 04-00108 - 1005 Westwood Drive - New SFRAPPLICATION FOR REXBURG CITY SERVICE pL) C?hv3 NAME ADDRESS ? PLUMBER PROPERTY OWNE WATER SERVICE: Type Size Water Connect...... $ Water Meter ....... $ L " Meter Box ......... $ Ring & Lid ......... $ Curb Stop ......... $ Setter .............. $ Sewer Connect ..... $ TOTAL ............ $ In Cit Out of City BUILDD G PERMIT APPLICAT M REXBURG, ID DATE Ni = THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER JOB ADDRESS (.� ... PHONE BUILDER , ARCHITECT DESIGNER STRUCTURE: O NEW ❑ REMODEL ❑ ADDITION Cl REPAIR ❑ RENEWAL ❑ FIRE DAMAGE 0 RESIDENCE ❑ COMM. ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ FENCE O PATIO ❑ CARPORT ❑ GARAGE ❑ AWNING FOOTINGS FOUNDATION I BASEMENT I FLOORS I EXT. WALLS I INT. WALLS CEILING ROOF HEAT INSULATED M CONCRETE © CONCRETE ❑ PARTIAL 0 WOOD 0 WOOD (0 WOOD ❑ WOOD ❑ BUILT UP. (3 GAS 0 WALLS ❑ MASONRY ❑ MASONRY O FULL ❑ CONCRETE ❑ MASONRY ❑ MASONRY I3 DRYWALL 0 WOOD SH. ❑ OIL d CEILING ❑ OTHER ❑OTHER ❑ NO ❑ OTHER ❑ CONCRETE ❑ CONCRETE ❑ PLASTER 0 COMP. SH. 0 COAL ❑ FLOORS OVENEER DDRYWALL ❑TILE DTILE ❑FIREPLACE ❑PERIMETER 0 METAL O PLASTER ❑ ACOUSTIC ❑ ROLL ROOF. ❑ ELECTRIC ❑ STUCCO ❑ TILE ❑ 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. REMARKS: DEPARTMENT OF BUILDING & ZONING PAID VALUE FEE PAID OCASH _ APPLICANT CHECK BUILDING DATE ADDRESS INSPECTOR • r WHITE -Owners Copy CANARY -Building Department's Copy PINK -Assessors Copy GOLDENROD.InspWor Name Address Lot Blk Name Use CITY OF REXBURG APPLICATION FOR PLUMBING PERMIT OWNER Tel. Add. PLUMBER Te I. 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 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 ......... • • ..... $ $ $ Received: Date By — CITY 1 w MAR 2 CASH $ PAID Rough Plumbing Sewer Other Finish Plumbing TOTAL $ INSPECTOR'S RECORD N I"11AH IT113 E