HomeMy WebLinkAboutAPPLICATIONS - 04-00110 - 281 Mark Ave - New SFRAPPLICATION FOR REXBURG CITY SERVICE
NAME i 4, S/ ,LA) oa,� H -i Nam'
ADDRESS & 72 1 *-.- k Dk
PLUMBER
PROPERTY OWN
WATER SERVICE: Type
Water Connect......
$
Water Meter .......
$
Meter Box .........
$
Ring & Lid .........
$
Curb Stop .........
$
Setter ..............
$
Sewer Connect .....
$
TOTAL ............
$
Size
In City
Storm Drains — $
Out of City
MAR 2 3 2004
APPROVED B
`'
\
Y
CITY OF
REXBURG
APPLICATION FOR PLUMBING PERMIT
OWNER
FEES
Name
Plumbing Permit ....................$
—
Address
Tel.
Sewer Inspection ....................$
_
Inspection of Pipe ...................$
—
Lot
Blk. Add_
Inspection of Fixtures ................$
—
PLUMBER
$
Name
$ —
Address
Tel.
$ —
TALLATION
TOTAL
$ _
NATURE OF INS
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
Received: Date
By —
INSPECTOR'S RECORD
N
W I I MAR 2 3 2004
Rough Plumbing
Sewer
Other
Finish Plumbing
CITY OF REXPU
S
INSP.