HomeMy WebLinkAboutAPPLICATION - 07-00464 - 165 N 1st E - MechanicalPle complete the ent* Application! If the qu
applicable
NAME
PROPERTY ADDRESS
SUBD IVISIO N 165 N 1st E -F
Required!!! MECHANICAL
Mechanical Contractor's Narne: Y, b vrwb,1� Business Name:
Address City State
Contact Phone: ( ) Business phone: ( Zak
Email Fax ]�
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Mechanical Estimate S f e (Commercial/Multi Family Only)
FJCTURES & APPLL4NCES COUN (Single aamil �wellinQn
Air Conditioner
Bath Fan 'Vents
Range Hood Vents
Boiler
Cook Stove Vents
Decorative Gas Fireplaces
Dryer Vents
Evaporative Cooler
Exhaust or vent ducts
Fuel (gas) piping fixtures or appliance outlets
Furnace
Furnace /Air Conditioner Combo
Heat pump
Incinerator
Pool Heater S Heat (Circle all that apply) Oil Coal .Fireplace Electric
Space Heater
"Unit Heater
Mechanical Sizing Calculation must be submitted with Plans & Application
Point of Delivery must be shown on plans.
S i ature of Licensed Contra for License number
Required!
The City of Rexburg's p f ee schedule is the same as
TO 39dd 9NI H 3 d =INn
O Z - I
ate
ed by the State of Idaho l
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SSOS99680ZT 817.80 LOOZ /OZ /60