HomeMy WebLinkAboutAPPLICATION - 03-00006 - Fastenall - New BuildingOR
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CITY O'F R X RG
APPLICATION FOR PLUMBING PERMIT
OWNER
Address Tel,
Lot Blk. Addi.
PLUMBER
Name
Address Te i.
NATURE OF INSTALLATION
Use
nuu9n rru nlrin
Fixtures
Complete
t
DESCRIPTION OF WORK
Bath Tubs
ri owe rs
Laundry Trays
Wash Basin
Toilet
l0P Sinks
Kitchen Sinks
Floor Drain
Drinking Fountains
water Softeners
Dish Washing Mach.
ry
p.. I�Ipi
i � !
�
lumbing �-
Sewer Inspection
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) 1 1 sp ion f Pipe + r A r r. + F + ■ a f r ■
In tion of Fi teres ■ r ■ . , . F r . ■ . . .
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TOTAL �.
Received: Date - ,�
By
INSPECTOR'S RECORD
Rough Pl=binq
Sewer
Finish Plumbing
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IF. 11,E
APPLICATION FOR Bt-ILDING PER-NITTI
CnY OF REXBURG,
LDAHO
Site Address
Mailing Address �
C�.�r/StatelZip '
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jao
Telephone,'FaxIMabj
CONTRACTOR
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Mame
Mailing Address
S SD
Cl-ty/Sl
Telephone'/'. -Mil ..
PROJECT LNFOR—AIATION
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IKW*AU
30d
1
PermitNo,
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Property Zone: Is existing use compatible W'I*tb zoning,
�ben was thi's buildinor last occupied
Ar.t / i r i
Plan Name
Subdivision
4
T.Ot
Circle One Reszdenii�C� rcia Educational Government Remodel Other-
Circle,One New House AdditionIRemodel to House New C
Q-MaqTc1.� - Commercial Remodel
CirBaseme
n<S a inished1 'Unfinished Of6imr• .".._._.._��
Loi Square Footage
Square Feel '�� Garage Square Frei
XXTk
Vr'iIi there bean apartment?
Total Estimated Cast
Signature of Applican.
Codi
Zone
-Bu2Idzng Type
Signature of Inspector
Issued by
1 . i .
Lot Width +
Number of Stories
J- 4
•NF1-kr�k.��i-Fa
How Torn om TZ
k
i,UOMmercial
- ff so, how many
/Pr'iAre you ia flood plain
xd'ng Pest
Plan Check Fees f
Plumbing Pezmit Fees �
Digging Permit Fees
-"Fater & Sewer Fees C?
Front Footage Fee
TOTAL $ :3
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