HomeMy WebLinkAboutAPPLICATION - 08-00172 - 312 Yale - MechanicalBuilding Safety Department � ��XaUR CITY o F
City of Rexburg 7 0
IZEXIi
19 E Main janellh @rexburg.org Phone: 208.359.3020 x326 .'. America's Family Community
Rexburg, ID 83440 www.rexburg.org Fri• ')nQ vco �noe �Eo
NAME
PROPERTY ADDRESS 2 08 00172
SUBDIVISION
312 Yale -New Furnace
Required!!! MECHANI "L
Mechanical Contractor's Name: S /�i��� �`P �>�ness Name:
Address ?i5 2F (6r /1/ City /� �� - State Zip e/y
Cell Phone: ( /-7s 2 Business Phone: (.72�
Fax: Email
Mechanical Estimate $ (Commercial/Multi Family Only)
FI RES & APPLIANCES COUNT (Single Family Dwelling Only)
Furnace Exhaust or Vent Ducts
Furnace /Air Conditioner Combo Dryer Vents
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas -fired appliance
Incinerator System
Boiler
Pool Heater
Range Hood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
Fuel Gas Pipe Outlets including stubbed in or ture outlets
Heat (Circle all that apply) Gas Oil Coal to Electric Hydronic
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
Signature of icensed Contractor
/7
License number
L111 � aA
Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho