HomeMy WebLinkAboutAPPLICATION - 00-00007 - BMC West Corp - RemodelCITY OF REXBURG, IDAHO
APPLICATI.ON FOR BUILDING FEPt,,1YflT'
Date oiAppflcatl'on �i��(�/btJ No. /L'- ee
0 WRIER
dame
Site Address
Mai'ling Address sox I �`R
Cloty/State/Zlp is ,•i.v `r�-[� �; .0 C,�'� `� l
Te lephone/F ax/Mo bile _ ZmPI - 3a
C 0tE2ACT,.0,,R
Name ;,i�2
Mailing Address
City/State/Zip
Taiephone/Fa,VMobile
PROJECT 1NFORMA'TTON
Architect or Engineering FiMAn
Ida..Lic.Nc. Plan Name
,S,u,tbdivision y Lot Np. Block
�riease att ssary�
(circle one) Reside;ztiallCammerciatlEducatianaIIGavernment/Religious
Desc�-zn�zon �� _ � -a �..� . �-o
(�xazn�les: � e�v Ouse !p� o reser ous� om��rcra e�no �
Square fcz6t �-4--IMMMMw��€Yo, of Stories Height of Building
Basement finished/unfinisn a Garage sq. fey Fatzvl�arpo�-�i'�,wning
What will Structure be used for (*.ncrud;ng name of business if applicable).: VZAAV�
If used fir a muiti��e �amily unit please indicate number of units:
Total Estimated Cost Z. t Will dwelling be in a flood plain.? Aj a
�ig.nature of anpfica&��
ax Code Zone
Building Type
future o Insvector
FOR OMCE USE ONLY
Buildinggmi t Fey
Ptumblng,Fem it Fee.
]D'grgixig Permit .
Li'near Foot Charge—
MAK
r ,
Water & S. ewer Fees
Plan ChevC.,k Fees CITY OF REXBURG
4
Total
4
-A
U
4
I =il I --I'
Address
CITY OF R XURG
APPLICATION FOR PLUMBING PERMIT
OWNER
Lot 81k. Add.
Name
LL lVitSCH
/t
Address Tel.
NATURE OF INSTALLATION
Use
Rough Plumbing
Fixtures
Complete
Bath Tubs
Showers
Laundry Trays
Wash Basin
Tbi I -e t
Slop Sinks
Kitchen Sinks
Floor Drain
Septic Tank
Water Piping
Sewer
DESCRIPTION OF WORK
Drinking Fourilainti
Water Softeners
Dish Washing Mach.
Clothes Washer
Urinal
Sink Trap
Water Heater
Other
Lawn 5prlinKlers
FEES
Plumbing Permit . 1 6 h a * 0 1 9 0 0 1P 0 . . r -P'
Sewer inspection - 0 0 L 4 w r I m a p a E a 0 0 $
Inspection of Pipe ..... 9 r 0 1 a & . . 6 $
Inspection of Fixtures r 1 .1 1 1 1 4 6 a 0 Ij $
TOTAL $
Received: Date P- M0.0 v %W- 00-,
By
INSPECT "S RECORD
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