HomeMy WebLinkAboutAPPLICATION - 08-00405 - 792 Johnson St - MechanicalBuilding Safety Department
City of Rexburg
19 E Main ianellh @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org
NAME
PROPERTY ADDRESS
SUBDIVISION
�F gExepRC
U Q
CITY OF
REXBURG
America's Family Community
08 00405
Ile 792 Johnson -Air Conditioner
Required!!!
MECHANICAL
Mechanical Contractor's Name Gvev Business Name: Ite"
Address lc ®U City �` e State - Zip -3 �141
Cell Phone: (21o8) 3 63 4`Y c Business Phone: ( )
Fax: ( )
Email
Mechanical Estimate $ (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
Fuel Gas Pipe Outlets including stubbed in or future outlets
Dryer Vents
Range Hood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
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.
Signa ure of LicAsed Contractor
The City of Rexburg's
License number
ee schedule is the same as
Dat
the State ofidaho