Plumbing - Unknown - 3920 W Wellhouse Ct - 12/03/2018Residential Plumbing Permit Application
City of Eagle Building Department
660 E Civic Lane
Eagle, ID 83616
Phone: (208) 489-8760
Fax: (208) 489-8767
Email: Building@cityofeagle.org
Plumbing Contractor Information
Company:
Beus Excavation
Contact Name: !Stan Beus
Contact Phone: 1208-941-4950
411th Ave N
Address,City, Zip Nampa, Idaho. 83687
License #
PLB-EPH-6811 Expiration:
Structure Type: 6: New Building C Addition
2:,\IVAI,
No.
Job Location
Address: [3920 Wellhou:se Ct.Eagle, ID 83616
Subdivision: Somerset
Lot: 12 Block:
Owner/Builders Name: !Core Building
Owner/Builder Address:,
r----
, Remodel C Other: F
Plumbing Permit Requested For: (Enter number required in appropriate categories below)
Residential: Enter # Fee Enter # Fee
Sewer/Water Lines Combo 1 Total Number of Fixtures
(use worksheet below)
Water Line Only
Sewer Line Only
Mobile Hm Sewer/Water
[
Total Plumbing Permit Fee:
$50 00 Base Fee Included
Lawn Sprinkler Backflow
Notes
Permit will be ssued he paid in fl via
Check, Cas , or Credit Car
(Credit Card Payments are subject to a
non-refundable Portal Admin Fee of 3% plus $1.:00)
Palm orlh r!).4.1!!
fis; Pay On -Line C Check/Cash
(Link on Home page)
How do you prefer to receive the 'Plumbing Permit - fill in the appropriate box below
Fax #
Ready for Inspection? C No
(Next working Day)
Email beusexcavation@gmail.com
Yes Type of Inspection
Water & Sewer Service
ni Pick up Hard Copy at
Building Department
inspections are Monday thru Friday
certify that the information contained herein is complete andaccurate to the best of my knowledge
Signature: Date: /2-3— /
THIS PERMIT is issued subject to the regulations contained in the 2012 Building and Plumbing Codes and Zoning Regulations of the City
of Eagle and it is hereby agreed that the work be done as shown in the plans and specifications will be completed in accordance with the
regulations pertaining and applicable thereto.