HomeMy WebLinkAboutAPPLICATION - 07-00368 - 1241 Desert Rock Dr - Gas Line08/09/2007 13:53 2083599409
Aug 9, 2007 i:01PM •
ADUANCED PLUMBING
PAGE 02
No. 4674 P.
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Building Safety Department
Cify of Rexburg
19 E Main loneAh@rexburg.org Phone: 208.359.3 '^ ° "`
Rexburg. )D 83440 www.rexborg.org FOX: 208
NAME _ kj 1 S a �
PROPERTY ADDRESS
SUBDIVISION
n&Se
Requiredlll
ME
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0700368
PO 1.241 Desert Rock -Claty Mech
Mechanical Contractor's Name: / siness Name;
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Address l2 9• City e.� State zip V4 "
Cell Phone; ( ) Business Phone:
Fax: (2-di' 5S q ° /�j -) q Email
Mechanical Estimate S (CommerciaUMulti Family Only)
FIXTURES & APPLL9.NCES COUNT (Srntle Family Dwelling only)
Furnace Exhaust or Vent Ducts
1~unmce /Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas -fired appliance
Incinerator System
Dryer Vents
Range Hood Vents
Cook Stove Vents
Bath Fan Vents
other sianalar vents & ducts:
Boiler
Pool Heater
Fuel Gas Pipe Outlets including stubbed in or future outlets
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic
Mechanical Sm`ne Calculations must be submitted with Plans & Aoplicatian
Point o0eliv_er_y must be shown on plans.
0 �
ignature of Licensed Connector License mmnber
`d-- -07
Date
T& City of Resbwrg's per mit fee schedule is the same as required by the Slate of Idaho