HomeMy WebLinkAboutAPPLICATIONS - 04-00189 - 315 Millhollow Rd - GarageBUILDING PERMIT APPLICATION REXBURG, ID
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTHE WORK HEREIN INDICATED
OR AS SHOWN AND APPRO,jf4//�lD IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
V
OWNER VA- 6_ I =" tt•P JOB ADDRESS L/ \ 91411:1 II 6
RTRUCTURE: d
REMODEL
O REPAIR U
PHONE _?,5L b — (71
FIRE DAMAGE
O AWNING
O RESIDENCE
O COMM.
O EDUCATIONAL
LJ GOVT
u MCLn9V
VJ "_,•....
.. • • ^ -
— - -
ROOF
HEAT
INSU TE(
F TINGS
FOUN ION
• NCRETE
BASE Nr
RTIAL
O FULL
FLOORS
O
CONCRETE
EXT. WA S
D
❑MASONRY
INT. WALLS
_dWOOD
❑MASONRY
CEILING
❑ W
ALL
O BUILT UP.
O nO SH.
AS fnlsiSy
OOIL
A
ILING
CONCRETE
❑ MASONRY
MAS NAY
❑OTHER
ONO
OCTHER
OO CON'
OCRYWA E
PUSH.
OTOS P.
�F�IREPLACE
❑PER�METI
❑OTHER
O METAL
LL
❑PLASTER
OTI ESTER
O ACOUSTIC
O ROLL ROOF.
O ELECTRIC
O STUCCO
O TILE
❑OPEN
❑METAL
cnd it iR
houmhv a
This permit is issued subject to the regulations contained in the Unitorm tsta aing Loge to nu �urw -e r,oga,o. .....• ... •�_,, - - --
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:
PAID
BU
WHITE -Owner's Copy CANARY -Building Departments Copy PINK -Assessors Copy GOLDENROD -Inspector
IR
greed
CITY OF REXBURG
APPLICATION FOR PLUMBING PERMIT
`/ FS
Name tr iOW,JR tl t /J
Address l,:-� eI.
Lot Bilk. Add.
/� /PLUMBER
Name C',•/n".,- ��L.L+
Address flh Tel.
NATURE OF INSTALLATION
Use
Rough PlumbingSeptic
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 -
w
Rough Plumbing
Sewer
Other
Finish Plumbing
INSPECTOR'S RECORD
N
S
INSP. NAME
g
E