HomeMy WebLinkAboutAPPLICATION - 07-00522 - 63 E 1st S - Gas Line10/17/2007 13:29 12083565055 UNITED P & H INC PAGE 01
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NAME 0700522
PROPERTY ADD SS
SUBDIVISION 63 E 1st S- Butterfield
Required!!! MECHANICAL
Mechanical Contractor's Name: Business Name; L
Address City State ZiP o o
Contact Phone: ( ) j , Business Phone: ( )
Email Fax r'O Sb
Mechanical Estimate $ (Commercial/Multi Family Only)
FIXTURES & 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
Feat (Circle all that apply Gas Oil Coal Fireplace Electric
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
Jas
ature of Licensed Contra &r
The City of Rexburg's
Dryer Vents
Range Hood Vents
License number
it fee schedule is the same as
ate
by the State of Idaho