HomeMy WebLinkAboutAPPLICATION - 05-00423 - Legacy Flight Museum - Mechanicalriease complete the entire Application: If the que~`'- ~___ ~_. ___.__ r.~ ._ ,.,.
applicable
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NAME A~ L: ~ ~ ~+
PROPERTY ADD ~ SS ~-~;~ ,~ ~~~,~~, _ ~ , ~,,°;, ,~ n~
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SUBDIVISION ~~
Required!!!
MECHANICAL
Mechanical Contractor's Name: ~v ~c r ~, ,s,-y, , ~~i Business Name: ,~,~,~, ~~ ~j~
Address "~ ? ~ ~ ) ~~ ~ City ~ ~ State ~~ Zip
Contact Phone: (,Z, ~-) 3.r Y - ~ ~ ~ yy- Business Phone: ( )
Email Fax
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Mechanical Estimate $ y3~T (Commercial/Multi Family Only)
FIXTU~S & 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
Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric
Dryer Vents
Range Hood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
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NOV 0 1 2005
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
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of L ci ensed Contractor License number
The City of Rexburg's permit fee schedule is the same as
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Date
the State of Idaho