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Home My WebLink AboutAPPLICATIONS - 04-00195 - 656 Stonebridge St - New SFRn n BUILDING PERMIT APPLICATION REXBURG,ID DATE�Zr N0. 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 `. t, PHONE STRUCTURE: .t3'FtEW U REMODEL U ADDITION U REPAIR U RENEWAL U FIRE D MAGE giRESIDENCE rT COMM_ m FDIICATIONGI n Gnva non imnne FOOTINGS FOUNDATION BASEMENT FLOORS I ENT. WALLS I INT. WALLS I CEILING ROOF HEAT I NSULATED ®•CMcRETE NCRETE U PARTIAL OOD U WOOD U WOOD OOD U BUILT UP. AS @WRCLS U MASONRY 0 MASONRY ®TOLL U CONCRETE U MASONRY U MASONRYRYWALL U WOOD SH. U OIL L10MUNG U OTHER U OTHER U NO U OTHER U CQy CRETE U CONCRETEASTER rUAOOUSTIC MP. SH. U COAL U FLOORS .dRNEER ALL LE UTILE UFIREPLACE UPERIMETER U METAL U PLASTER U ROLL ROOF. U ELECTRIC USTUCCO UTILE EN LIMETAL I nls permit Is Issuea 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 r FEE PAID CASH CHECK APPLICANT BUILDING DATE ADDRESS INSPECTOR WHITE -Owner§ Copy CANARY -Building Department's Copy PINK -Assessors Copy GOLDENRODdnspector WORK ORDER ACC# RT# PHONE EFFECTIVE DATE DATE NAME aw B ,It SERVICE F MAILINGADDRESS /3O/sf/%A'S/• ?aJmlo leZ OWNER PHONE ADDRESS EMPLOYER OR RELATIVE COMMENTS SS# SIGNATURE ❑ IN ❑ READ ❑ RENTING ❑ ON ❑ RE -READ ❑ BUYING ❑ OUT ❑ CHECK LEAK ❑ SELLING ❑ OFF ❑ WTR.SWR ONLY ❑ OWNER ❑ VACANT ❑ GR CONT. # ❑ BL CONT # METER SIZE LOCATION COMPLETED BY NO. OF PEOPLE WORKPHONE fZf'^�"lam A' DEPOSIT AMOUNT DATE PAID IN REFUND DATE AMT REFUNDED_ AMT. APP. BILL GR RT# BIN SIZE NO. OF BINS ❑ ❑ ❑ ❑ ❑ ❑ ISSUED BY ❑ COMPUTER IRLE CITY OF REXBURG APPLICATION FOR PLUMBING PERMIT /. Name/74e,56 5 Address !c% ,SL/cam Lot I Blk. z Add. Sn'd(V PLUMBER Name d`�✓�"H �G✓i0 .� c� r� Address Tel. NATURE OF INSTALLATION Use Rough Plumbing _ Septic Tank Fixtures Meter Box ..:...... f'! Water Piping Complete Sewer $ DESCRIPTION OF WORK Bath Tubs ?) '— Urinal Showers 3 Sink Trap Laundry Trays Water Heater Wash Basin 3 jilikillill, Other Toilet Slop Sinks Kitchen Sinks - Floor Drain Drinking Fountains Lawn Sprinklers AW Water Softeners Dish Washing Mach. Clothes Washer (0/') -agIQS FEES Plumbing Permit .................... $ Sewer Inspection ....................$ Inspection of Pipe ................... $ Inspection of Fixtures ............ • .. • $ Received: Date By — W Rough Plumbing Sewer Other Finish Plumbing $ $ $ TOTAL $ INSPECTOR'S RECORD N APPLICATION FOR REXBURG CITY SERVICE NAME 4&,e /, ADDRESS PLUMBER PROPERTY WATER SERVICE: Woler Connect...... _ Woler Meter ....... f Meter Box ..:...... i Ring 8 Lid.........; Curb Stop ......... $ Setter .............. _ Sewer Connect ..... TOTAL ............ —Ls ® Size In City -- Out of City Storm Drains — $ S IPI1YA0Y-1IT, Z E