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HomeMy WebLinkAboutAPPLICATIONS - 04-00191 - 655 Harvest Dr - New SFRBUILDING PERMIT APPLICATION REXBURG, ID DATE NO. THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED ''_�_.__{ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. 608 IVB' , OWNER JOB ADDRESS dY 00/q/ STRUCTURE: NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE 19 RESIDENCE ❑ COMM. ❑ EDUCATIONAL ❑ GOVT n RELIGIOUS n FENCE n PATIO n CARPnRT n r,ARAGF n AWNINn FOOTINGS FOUNDATION I BASEMENT FLOORS EXT WALLS INT. WALLS I CEILING ROOF HEAT INSULATED y��d CONCRETE VA CONCRETE ❑ MASONRY ❑ PARTIAL FULL � WOOD 13 CONCRETE WOOD ❑ ASONRY ❑ WOOD ❑MASONRY WOOD DRYWALL P. H. GAS OIL WALLS CEILING ❑OTHER ❑OTHER ❑ NO ❑OTHER ❑ CONCRETE CONCRETE LASTER H. ❑ COAL LOOKS s ❑VENEER DRYWALL ❑TILE LW ❑FIREPLACE ❑PERIMETER untains =Mach. Lawn Sprinklers Sewer ❑ METAL ❑PLASTER ❑ACOUSTIC OOF. ❑ELECTRIC❑STUCCO ng Mach. Finish Plumbing ❑TILE ❑OPEN 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 VALUE FEE PAID ❑CASH APPLICANT n rucrx WHITE-Ownees Copy CANARY -Building Department's Copy PINK -Assessors Copy GOLDENROD -Inspector APPLICATION FOR REXBURG CITY SERVICE NAME 04 00191 WATER SERVICE: Type Size Water Connect...... $ 1100 Water Meier ....... $ 4`17 Meier Box ......... S Ring & Lid.........5 Curb Stop ......... Showers Setter .............. $ Sewer Connect ..... _ TOTAL ............ In City Out of City Storm Drains — $ APPROVED BY CITY OF REXBURG APPLICATION FOR PLUMBING PERMIT OWNER Name TSA GO(\SA(LaCA�Uf\ Address po&by°fa RI'�,iti Tel. S11 -Col Lot 3 Bilk. 1 Add. �AWtj ttct-` N� PLUMBER Name PRe, 6L,,K' 'b`n1�fAn t'l(X> Address Tel. 3�7 NATURE OF INSTALLATION Use Rough Plumbing Septic Tank Fixtures Water Piping Complete Sewer DESCRIPTION OF WORK FEES Plumbing Permit ••••..•.•...•••.. ..$ Sewer Inspection • • . • • • . • . . . $ Inspection of Pipe • • • .. • • • . • • .. . • $ Inspection of Fixtures . . • • • • • • • • . • • $ $ Received: Date By Bath Tubs 3 Urinal Showers 3 Sink Trap W Laundry Trays Water Heater Wash Basin Other Toilet Slop Sinks s Rough Plumbing untains =Mach. Lawn Sprinklers Sewer ners Other ng Mach. Finish Plumbing sher 04 00191 $ TOTAL $ r INSPECTOR'S RECORD N S INSP. NAME E