Plumbing - 190123 - 202 Flagstone Lane - 01/01/2019Address: 202 Flagstone Lane
Subdivision: Eagle Meadows
Permit: 190123
Date Issued: 01/01/2019
(
esi , e tial Plumbing Permit Application
City of Eagle Building Department ,--
660 E Civic Lane RECEIVED & FILED
—
CITY OF EAGLE'
Eagle,ID 83616
Phone:(208)489-8760 JAN U 9 2)19
Fax:(208)489-8767
Email:Building@cityofeagle.org
11Pfease Note:USE Ute 7 — Homes
Plumbing Contractor Information Job Location
Company: fil/ incr.? Address: 7
Contact Name: Subdivision: /1:::"ck,() e / 7 ,)'•1 )
Contact Phone: 4(;:,;;e1;( ' 21, Lot: z.„ Block:
2 e„
17 Owner/Builder's Name: io 7A )Address,City,Zip ( A (
)7/
, Owner/Builder Address:
License# )),), Expiration: 5) ‹. ( L) 1A(")
Z 767
Structure Type: ç2 New Building (- Addition C Remodel C Other:
PI mbing Permit Requested For:(Enter number required in appropriate categories below)
Notes
Residential: Enter# Fee Enter# Fee
Sewer/Water Lines Combo Total Number of Fixtures
(use worksheet below)
Water Line Only
Lawn Sprinkler Backflow
Sewer Line Only
Mobile Hm Sewer/Water 7'
f
Permit will be issued when paid in full via
Check,Cash,or Credit Card
(Credit Card Payments are subject to a
(
non-refundable Portal Admin Fee of 3%plus$1.00)
Total Plumbing Permit Fee: ,dr—)c choose Pavim)nt Mettle I,d
$50.00 Base Fee Included V
C Pay On-Line ''stqheck/Cash
(Link on Home page)
How do you prefer to receive the Plumbing Permit'-fill in the appropriate box below
Pick up Hard Copy at
Fax# Email
Building Department
Ready for Inspection? (' No (- Yes Type of Inspection (Inspections are Monday thru Friday)
(Next working Day)
I certify that the information contained herein is complete and accurate to the best of my knowledge
Signature: 1/71 ( )) 6 "I Date: I — / et)1
, 7
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.