HomeMy WebLinkAboutAPPLICATION - 08-00525 - 3738 Taylor Ln-Kunz•
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REXBURG
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Americas Family Community
Im W 0800525
3738 Taylor Ln -Kunz
Building Safety Department
City of Rexburg
19 E Main
Rexburg, ID 83440
ionellh@rexburg.org Phone: 208.359.3020 x326
www.rexburg.org Fax. ' -- " -- - --'
NAME JL
PROPERTY ADDRESS
SUBDIVISION
Required!!! MECHANICAL
Mechanical Contractor's Name: k U �� Business Name:
Address City State
Cell Phone: ( )
Fax: ( )
Business Phone: ( )
Email
Mechanical Estimate $ (Commercial/Multi Family Only)
FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only)
F urnace ?� Exhaust or Vent Ducts
Furnace /Air Conditioner Combo l Dryer Vents
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 future outlets
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic
Zip
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
Signature of Licensed Contractor License number Date
Heat Pump
Air Conditioner
The City of Rexburg's permit fee schedule is the same as required by the State ofldaho