HomeMy WebLinkAboutALL DOCS - 00-00013 - State Realty - New BuildingOF
CLAIM
VENDOR 9 1
NAME
ADDRESS
CITY, STATE, ZIP c57/
414
llimml*. RiL9
ORM
DATE
FED ID or SS#
TELEPHONE
CLAIMANT OR HIS AGENTSIGN HERE
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Site Address
Mailing Address
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CONTRACTOR
Name ua,', �, ,s r�„ �,
Mailing Address
CitylStatc1ZiP�
Teiep�ocelFa��o��?e
o.r�cT rNFoxMATTo
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AA"or En 'ne..ering _F*
Plan Name.
I
V
,M r i cr -i n AA - R ip xh 1 j r ri. T Lq LotBlock
WE -Uzu�ss
ease .NL aUaca- IYUI_UUT3�UTr'f
A. a zn
(circle one) Resi'dential/Cornmerc-lai/Eaucati-onal/Govert=entfReligious
Descniptiorl
0 lip
(Exa M p i es ft -,Y(!W tiouse Aa 1[10__ - 0_�M
r1l M ell r C
6
Kent
S(ivare fet.%.t. 4
L i o;nn No. of Stories -on P_ Height iin2
6
B as ement n o finished/un s'e' G
arage sq. feuc/C rVA wning
What will `�tracVar1c,..% be used for --inclu
aing name of business if applicable)1
-,S.t-R
T 71"
&iw-
used for a multi -pie family unit pe ind &cate . . . . . . .
I number of unitsw. n_Za
Tatai Hst7' _Vri T T A �,
i-r-riated nn 11;
: piaiij
No jUII ry LUUU
Signa-ture of applicait '. Z
UB C
I ax Code Zone
,Building I ype,a� 4
�kpaturc of Ins ofrjr
-I&
C;
FOR 0 CE USE ONLY
Pkn,,rrnit Fee
plum bl,ng Dermit.Fea
X
6.4t.
1Dj0-Crjj-j,g Pei -n it FSe2F,%s
"=Icy
Linear Foot Charge
Water & Sewef- Fees 6-9
Plan Chec!<
k -I
I
otal
I
H. Butikof(
i��Xs U R -Tl'
Inspect
seq. IR
Project
Addres
INSPECTION TICKET
D Bldg. J Plumb. 9
Elect. ❑ Mech. IJ Fi4
te
Inspection Tyke �.
Day ff nue Req..
Inspector's Report
M2
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Y
Comm.
NSPL CTED ITEMS CONFORM TO ApPkOVED DWGS >(y� N (]NIA
INSPECTOR'S ACTION
NJ APPRCava)
D C-0. (FINAL)
ACTION REQUIUM:
CJ llISAPPRt)VE�
NOT APPLICABLE
C1 ��11iAL
DID NOT INSPECT
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ke- `)R k 1J' 7 1 V Ti L LL L - Anspeclor's DP
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REXBURG
PLUMBING PERMIT
(TL1
FEES
Plumbing Permit
■ r i y ! * J * ! ! $
Sewer Inspection'
qr i, I I
Inspect«n of Pipe
W L I $
Inspection of Fixtures .... ,
� • `!Iiia!'
TOTAL
R e c l'r ve d Date
i
.. ■fi" r �...,."�..� a ti. �, ". r +�� . , '... . _
INSPECTOR'S RECORD
A
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}dh 'f •.. oaf
SUN � L-
y
IF G
._ _. _ „�.', : � 39-;,_-m�'-e��ar•�'�'�'�'� -�. �.�:.-.res+. v .. - � -
Fi x
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3
�s
Bath
h o"
Laura
tl
Wash i
Toil et
di
Slop
I
Kitchen
Floor Dr
Drinking
Water o""
P.
Dish Wag
clothes
N
REXBURG
PLUMBING PERMIT
(TL1
FEES
Plumbing Permit
■ r i y ! * J * ! ! $
Sewer Inspection'
qr i, I I
Inspect«n of Pipe
W L I $
Inspection of Fixtures .... ,
� • `!Iiia!'
TOTAL
R e c l'r ve d Date
i
.. ■fi" r �...,."�..� a ti. �, ". r +�� . , '... . _
INSPECTOR'S RECORD
A
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}dh 'f •.. oaf
SUN � L-
y
IF G
._ _. _ „�.', : � 39-;,_-m�'-e��ar•�'�'�'�'� -�. �.�:.-.res+. v .. - � -
0n
3
f
LJ +
N
REXBURG
PLUMBING PERMIT
(TL1
FEES
Plumbing Permit
■ r i y ! * J * ! ! $
Sewer Inspection'
qr i, I I
Inspect«n of Pipe
W L I $
Inspection of Fixtures .... ,
� • `!Iiia!'
TOTAL
R e c l'r ve d Date
i
.. ■fi" r �...,."�..� a ti. �, ". r +�� . , '... . _
INSPECTOR'S RECORD
A
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SUN � L-
y
IF G
._ _. _ „�.', : � 39-;,_-m�'-e��ar•�'�'�'�'� -�. �.�:.-.res+. v .. - � -
VENDOR #
NAME
ADDRESS r (SF �Q�✓
CITY, STATE, ZIP
C TY 0 REXBURG
CLAIM FORM
DATE
FED ID or SS#
TELEPHONE
CLAIMANT OR HIS AGENT SIGN HERE
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BUILDING PERMIT
APPLICATION REXBURG, THS UNDERSIGNED HEREBYAPPLIES FSR q PERMIT ID
OR AS SHAWN AND APt� PRQVED �THE ACCpI��ANYfMG PLANS AND SPFC F!!C T pINDI��TED
OWNER
iii
BUILDS Fry --- W; '. 3,
R t
STRUCTURE:
'arar J1 ADDRESS
ARCHITECT
REMODEL �
RESIDENCE LJ COMM, - ' Q REPAIR
E
EDT a L
1
NAL J GOAT Q RELIGIOUS 0 FENCE PATIO EIRE DAMAGE
INEN CARPORTFOOTINGS FOUNDATION BASEMENT GARAG PLOORS EXT E AWNING
LL INT.WALLS ��LJ
L) CON CRETE I - N IG BOO J�
CONCRETE Ll PARTI L HEAT INSULATED
11 MASONRY LIMASON FAY WOOD C3 WOOD J WOOS
OTHER ���� � 1 RETE � VO
� L) DUILT UIQ: � �
Q THEE LI JAY DRYWALL 1�J'� [ F�� WALLS
Q THER Q CONCRETE ❑ CONCRETE r JAL LI' OIL CEILING
LIVENEER R PLASTER U COMP- H, COAL FLOORS
� �.LL � � T�L� � T��E L�
METAL PL. TE Q FIREPLACE J PERIMETER
i 2 TUTIDE OPEN ELECTRIC
This permit iss u ed subject to th e req( i � a tio ns cOntain ed i n the Un iform Bu Min g Code and Zoning Reg u lations 0 METAL
that the work to be done as shown in the plans and specificationswill �f F�� �r �R �� � hereby agree ainingPert and applicable thereto-, The issuance of the permit does not waiv,
acordance 'R F
Or
Covenants
'T `{
Vv -.0. k 't - PH0NE41qR,,,,
DEfE
REMARKS:
"crHrt t Mtly t OF BUILDING $c ZONING
VAGUE
FEE PAID
BUILDING
INSPECTOR
LJ UA6H
J-CHEC
► k1Lj yr -
DATE
vv ' ": ner-s 0_oP CANARY—E3uildin D pa mgnt S C)p PIN — ;:s.Sensor's
ITY
r
APPLICANFT
ADDRESS
-00
r% cn c e
*
%-::Ls a nry :
Roofing
1 nsulat L
y w a..
Painting� {
SU�CO!�! I RA,CTOR I TST
0"
i
I
F.Loor Coverincs
Rean - d a.
p 1 umb Lng -Sta=. -Nextan,
Heating: C 4- T -re-. TkT,-. -r-r 4-
E-lectrical IF
k
Trusses
SPECIAL CONSTRUCTION
(MANUFACTURER QR SUPPL
Jolley Builder
1 y
10
d.
cabinets
i 7
C.lL-1 e
F
- 4
I ER)
r
S
-.? CITY OF REXBURG
APPLICATION FOR PLUMBING PERMIT
OWNER �f f,,i,�l,
Name Kent HA Butikofar
P To d1% 8,3451
Address 't" X
.1 94r
Lot 10100 4 Blk, 21 Orig Rexburg TS
Add.
PLUMBER
I
Name StlkV* N*Vt04qN
Address 255 David Ct, 356o*4695
Te L
NATURE OF INSTALLATION
Use Comaterciat/plica
Rough Plu,mbinq
Fixtures
Complete
Bath Tubs
Showers
Laundry Trays
Wash Basin
Toilet
Slop Sinks
Kitchen Sinks
Floor Drain
X I I Septic Tank
Water Piping
Sewer
DESCRIPTION OF WORK
Drinking Fomitains
Water Softeners
Dish Washing Mach,
Clothes Washer
Urinal
Sink Trap
Water Heater
. I I [ Other
Lawn Sprinklers
FEES
Flumbing Permit 0 0 0 0 * * a & 1 2 0 0 0 1 E 0 $
Sewerinspection A MAN 0 EV99 it@ 9 4 go
inspection of Pipe $
Inspectionof Fixtures
Received: Date
$
TOTAL $
etrl-74
A
By
I MSP ECT"S RECORD
N.
L r�i
W JUN 2 2000
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