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HomeMy WebLinkAboutBP & APPLICATION - 06-00088 - 2973 S 2000 W - MechanicalZ O rn ^~ F c d v w n a a y o D ~ ~ ~ 3 v v m ~ ~ ~ y y m ;~ y O C y ~ ~ ~ ~ N °' a c o~ ~~ 7 y N 7 f 3 ~: a N W ~ v ~ ~ c 3 ~ ~ ~ o ~ s? m a x o'o~~°~' m M y d y ~ ~ C ~ n ~ G O vl ~ ~ ~ O w m n ~ ~ _ ,,, ~ w a m ~ .~ n o f °: m < ~~~ ~~,o~~, ~. a a -~ m ~^ = o v N go,c~-i _~ Z ~ V~ W ~ ~ ~' m -~ ,~ '~~ ~ _. ~ m ~ ° 'a rn 3 `~ x ~' C7 ~ 0 ~° ~' c a; O O ~' a ~ C ~ V1 .~ °wa O ~ ~ ~ C ~ ~ y~ 7 W mo ~ N co O o, y = ~ C < 3 ~ ~ ~ ~ ~ ~Q O ~~~' ~ ^y ~ ~ ~ 1 S V r ~ a~,wd ~ ~~~ o . ~.~~~ a ~ ~~~ (/~ W H C 1Q Ot .: ~ ~ ~ ~ ~ D ~ ~ ~~~a ~ m ~ ~ oa~~ -" g D o ~~~ v ~ m ~ = a ~ ` C1 y ~ i V to m =~~, N A A ~ CO ~ C ~p W r d .. ~ (p Q .. = W O '! K ~_ 1 3 ~ O C .1C 7 C ~ O ^' ' ° m ~ .. a 0 ~' cQ m 3 C v .. 0 O O O 00 00 ~^ ~~ c p. Q ;; ti~~ o~ya ~~ ~ ,~ ~~j ] •e O 3 ~ 3 yJ b ~ c0 ~. ~ ~ ~. ~• ~ ~ ~ Wa T N m m ~ y ° y c ~ ~ ~ lf t mn ~ ~ ~, C1 ~ ~ n ~ Sam y v, ~ O Z A C ~ ~ C = W C n on ~ ~ ~ ~ ~ y 70 ai='c Z ;~ ~ ~ Z ~ ~ m ~ n o N ~° . Q G y . '~ ~ ~ o 0 ~ ~ 3 ~ ~F am en z ° ~. A~ ? y . n Z N ~ ~ C. Ut ? W N ~ T ~ ~ O C d N N > > > w w ~ ~ ~ ~ ~ y ~' tG ? y ~p _ 7 ~1 ~'~' OF' ~XB ERG PERMIT # I~LTIiDING PERMIT APP~,ICATION Please ci 19 E MAIN, REXBURG, ID. 83440 If the questi 208-359-3020 X322 2973 PARCEL NUMBER: ( WE SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information -must be accurate) CONTACT PHONE # PROPERTY ADDRESS: ~ ~l ~j 5 ` ~® ~ PHONE #: Home ( ) ~~%t0~ ~--~-~5 Work ( ) Cell ( ) OWNER MAILING ADDRESS: EMAIL FAX STATE: ZIP: CITY: APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS CITY: STATE; ZIP EMAIL, PHONE #: Home ( ) CONTRACTOR: MAILING ADDRESS: s3 PHONE: Home# (n2L(-1Z2~, EMAIL Work ( ) • ~ ~I ~ 06 ooosg S 2000 W-Cnty Mech. Cell ( ) ~'~ +-(©D ~.1. 1 CITY ~~- TATE '~"~ ZIP~~ uS Work# jp2L'(-1 ~1~ ( Cell# ~ ~ ~~ ~~-~~ _FAX (Q21-("1~-~--3 --~-'4 How many buildings are located on this property? Did you recently purchase this property?~~ Yes (If yes give owner's name) Is this a lot split? ~ YES (Please bring copy of new legal description of PROPOSED USE: `~ (i.e., Single Family Residence, ~ -~.~ ~~' ~ i ~c~ ,Apartments, emodel, Garage, Commercial, Addition, F E~ ~ APPLICANT' S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2000 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. -~ ~ ~/ n $lgnature of Owner/ pA plicant DATE Do you prefer to be contacted by fax, email or phone? Circle One WARNING -BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non-refundable and are paid in full at the time of application beginning January 1, 2005. City of Reaburg's Acceptance of the plan review fee does not constitute plan approval **Building Permit Fees are due at time of application** **Building Permits are void if you check does not clear** FAX r } applicable e If the question NAME ~ l 'R~ti, t~~ PROPERTY ADDRESS ~R'l ~ ~y 2.~ W s SUBDIVISION }J ~.p~- app 11 i NA for~non ,..,,.....~..~.,~a. ~~ Permit# Required!!! MECHANICAL Mechanical Contractor's Name: ~u~Gc~ C~C~-~`~ Business Name: ~'~\~'~-`~ (rIZ(,t`I~ Address~Z~S ~ C- ~da ~!. City S-}-. Fn-~-Y State ~~ Zip~~ Contact Phone: (~) (11 Z ~ - i ~( ( Business Phone: (~) ~~ - j ~(Q Email Fax 1~Z~-, -~z ~-- 3 7 Mechanical Estimate $ (CommerciaVMulti Family Only) FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only) Furnace ~ Exhaust or Vent Ducts Furnace/Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas-fired appliance Incinerator System Boiler Pool Heater Similar fixtures or Appliances U Dryer Vents ~ Range Hood Vents © Cook Stove Vents 6 Bath Fan Vents l ~ ~t iG"4q ~~ ms's' ~ ~ `. other similar vents & ducts: ~ - _~~ x- i ''~ ~ ~"' Z Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) as Oil Coal Fireplace Electric Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. ~~ Signature Licensed Contractor The Clty of Rexburg's j ~ll'~ License number schedule is the same as 2-2 ~~IP Date the State of Idaho