HomeMy WebLinkAboutAPPLICATION - 08-00187 - 2469 N 2000 W - MechanicalBuilding Safety Department
City of Rexburg
19 E Main ionellh @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fn gnR .3.59 .�n?d
NAME C O r i S - 7 / to — G 737
PROPERTY ADDRESS Z y &ci IV. 2_&OD L J. (-
SUBDIVISION
Required!!!
Mechanical Contractor's Name:
Address &Y& t, �&
Cell Phone: (Zo 39y 05_z5
Fax: ( &:0 j5 �" O S
Business Phone: ( )
Email JJ K5, .� hPwro
Mechanical Estimate $ (Commercial/Multi Family Only)
FIXTURES & APPLIANCES COUNT
(Single Family Dwelling Only)
Furnace
_�_ Exhaust or Vent Ducts
Furnace /Air Conditioner Combo
J Dryer Vents
Heat Pump
Range Hood Vents
Air Conditioner
Cook Stove Vents
Evaporative Cooler
Bath Fan Vents
Unit Heater
other similar vents & ducts:
Space Heater
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Decorative gas -fired appliance
Incinerator System
Boiler
Pool Heater
5_ 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 f Licensed Contractor
13 L - 7
License number
The City of Rexburg's permit fee schedule is the same as
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0800187
2469 N 2000 W -Lewis
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the State of Idaho