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Home My WebLink AboutAPPLICATIONS - 04-00197 - 192 Sequoia Ave - New SFR�_) n BUILDING PERMIT APPLICATION REXBURG, ID THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED ORAS SHOW AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER 2�j �i' � 40BADDRESS �� 5c24U(a. STRUCTURE: N PHONE —r— ADDITION U REPAIR❑RENEWAL U FIRE n caRPnRT ❑GARAGE k U RESIDENCE U COMM. U EDUCATIONAL U GOv'T u neuu:vvo u . �•�� .-- — ROOF HEAT INSULATED FOOTINGS FOUNDATION BASEMrFLOORSEXT. DESCRIPTION OF WORK WALLS COMPLETED BY ❑ BUILTUP. AS LLS NCRETEOLONCRETE RTIAU Rough Plumbing WOOD U MASONRY OOD D SH.❑OIL Water Softeners CEILING ❑ MASONRY U MASONRY O FULL ONO0 CONCRETE =WAMCEILINGEILING ASTER UO F REPLACE U PERIIMETER U OTHER U OTHER I ESTER C UTCOEP.SH. U❑ ROLL ROOF. U ELECTRIC U METAL ENSTIC anrlitiRherehvaareed This permit is issued subject to the regulations contained inniienmitorm uunamg Couu tst:u ��-n:y • •w-••-• •- -• --- - - - 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 WHITE -Owner's Copy CANARY -Building Department's Copy PINK -Assessors Capt' GOLDENROD -Inspector WORK ORDER ACC# /RT# PHONE EFFECTIVE DATE DATE NAME_r rn�� ' SERVICE ADDRESS / Sc S/ cc of n. MAILING ADDRESS /34 / r�A5:" /76St-• ic(� ha ''�s g3yo'{ OWNER PHONE NO. OF PEOPLE AnnRGcc EMPLOYER OR RELATIVE COMMENTS SS# ❑ IN ❑ READ ❑ ON ❑ RE -READ ❑ OUT ❑ CHECK LEAK ❑ OFF ❑ WTR.SWR ONLY []VACANT ❑ GR CONT. # _ METER SIZE GR RT# _ LOCATION DESCRIPTION OF WORK Bath Tubs COMPLETED BY SIGNATURE w ❑ RENTING ❑ BUYING ❑ SELLING ❑ OWNER ❑ BL CONT # WORKPHONE 5Z/• /5/75' DEPOSIT AMOUNT DATE PAID IN REFUND DATE AMT. REFUNDED AMT. APP. BILL BIN SIZE NO. OF BINS ISSUED BY ❑ COMPUTER FILE CITY OF REXBURG APPLICATION FOR PLUMBING PERMIT / OWNER NER/� l Name pp/77�0t'S/'/oLe/ Address �7G �'er�up(ea Tel. Lot /Z Blk. % Add. 4UCX,/7 PLUMBER Name 04= / u�P/' Address�"Aor Tel. NATURE OF INSTALLATION Use $ Water Heater Rough Plumbing Wash Basin I Septic Tank Fixtures O Water Piping Complete Setter .............. Sewer Slop Sinks DESCRIPTION OF WORK Bath Tubs 1 Z Urinal Showers Z Sink Trap FEES Plumbing Permit ............ • • • • .. $ Sewer Inspection . ................... $ Inspection of Pipe ................... $ Inspection of Fixtures ............ • • • $ Received: Date By— l9l Laundry Trays $ Water Heater _ Wash Basin I 3 Other _ Toilet 1 3 Setter .............. _ Slop Sinks TOTAL ............ Kitchen Sinks Floor Drain Rough Plumbing Drinking Fountains Lawn Sprinklers Sewer Water Softeners / Other Dish Washing Mach. Finish Plumbing Clothes Washer $ TOTAL $ INSPECTOR'S RECORD N APPLICATION FOR REXBURG CITY SERVICE NAME A4ye S 4 e e S INSP. NAME PROPERTY OWNER WATER SERVICE: Type Size Water Connect...... $ Water Meter ....... _ Meter Box.,........ i Ring 8 lid......... _ Curb Stop ......... Setter .............. _ Sewer Connect ..... TOTAL ............ In City Out of City Storm Drains — $ APPROVED BY E