HomeMy WebLinkAboutAPPLICATIONS - 08-00035 - Hibbard Church - MechanicalBuilding Safety Department
City of Rexburg
19 E Main ionellh @rexburg.org Phone:
Rexburg, ID 83440 www.rexburg.org
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PROPERTY ADDRESS I $
SUBDIVISION
Required!!!
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0800035
Hibbard Church- Mechanical
MECHANICAL
Mechanical Contractor's Name: gYljP-,y'oWe,r Business Name:
Address �g _ City State UT Zip ? J1 9
Cell Phone: ( ) Business Phone: Mme) Sl0 - k p
Fax: (� 6) Sle3- 1035 Email A Ir')nwax-
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Mechanical Estimate $ ,��- j� 'Commercial/Multi Family Only)
FIXTURES & APPLIANCES 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
Dryer Vents
Range Hood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
Fuel Gas Pipe Outlets including stubbed in or future outlets
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
Signature of Licensed Contractor
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License number
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Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
OM :ACTION MECHANICAL
May, 6. 2008 4:15PM
FAX NO. :208 357 3896
May. 07 2008 01:16PM P1
No. 6276 P. 1
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CITY OF
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Building Safety Department
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19 E Muh j0ne11h *mxbu0g -org P haru•' *A 4SO.3h46 x326
Rexburg /D 834 www.rexb1AV_0rQ
NAME
PROPERTY ADDRESS
SUMVtSYON
Required!!!
0800035
Hibbard Church- Mechanical
MECH"ICAL
MeehaWcal Contractor's Name: rn h
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city L state -P
Cell Phone: ( ) Business Phone: (ZOO) 3v 7- 3? 9
Fax: (Zah) Email
Mechanical Estimate $ 5'a— (Commeraiamuld Family Only)
MTURES & APPLIANCES COUNT (Single FawW1y DwlelllnF Only)
-, Furnace Exbaust or V ent Ducts
Femme /Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas-fired appliance
Incinerator System
Boiler
Pool Heater
Dryer Vents
RwVe Hood Venis
Cook S tove Vents
Bath Fan Vents
other similar vents & ducts:
Fuel Gas Pipe Outlets including stubbed in or future outlets
[Teat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic
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Sipatm,o of Ul mBed C Ucem number Date
The CityThe City gr ex�'epen fee schedale is the same as regained by the State ofldah o