HomeMy WebLinkAboutAPPLICATION PLUMBING - 04-00199 - 107 Star View Dr - New SFRCITY OF REXBURG
APPLICATION FOR PLUMBING PERMIT
OWNER
Name Ctrt[, Pt. RAF23ftZ
Address 31 Al, NI;(1juIIe.JIQeI Tel. a�q
Lot __:�-- Blk. _ Add. ii'IdAn V911P V
PLUMBER
Name EQdI�Pi�fAVrtbin�
Address Tel. :�2Z— c319
NATURE OF INSTALLATION
Use go. Tlltt
Rough Plumbing
Septic Tank
Fixtures
Water Piping
Complete
Sewer
DESCRIPTION OF WORK
Bath Tubs (
Urinal
Showers I
I
Sink Trap
Laundry Trays
I
Water Heater
Wash Basin
Other
Toilet
3
Slop Sinks
Kitchen Sinks
Floor Drain
Drinking Fountains
Lawn Sprinklers
Water Softeners
Dish Washing Mach.
t
Clothes Washer
FEES
Plumbing Permit .. • . .. • ....... • • • • • $
Sewer Inspection ....................$
Inspection of Pipe . . ................. $
Inspection of Fixtures ................$
Received: Date
By —
IN
Rough Plumbing
Sewer
Other
Finish Plumbing
$
TOTAL $
INSPECTOR'S RECORD
N
I
INSP. NAME
E
CITY OF REXBURG
APPLICATION FOR PLUMBING PERMIT
OWNER
Name
Address
Lot Blk. Add.
Tel.
PLUMBER
Name
Address Tel.
NATURE OF INSTALLATION
Use
Rough Plumbing
Septic Tank
Fixtures
Water Piping
Complete
Sewer
DESCRIPTION OF WORK
Bath Tubs `
Urinal
Showers I
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 —
W
Rough Plumbing
Sewer
Other
Finish Plumbing
TOTAL $
INSPECTOR'S RECORD
N
S
INSP. NAME
E