HomeMy WebLinkAboutAPPLICATION - 08-00572 - 4615 N 495 W - MechanicalJun. 10. 2008 10:11
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sk' No. 6466 P. 4
Building Safety Department �� ��•��
My of Rexburg
C I T Y 7 O PP
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AmMeO FmpilyCommmity
19 E Main jonellh®rexburc. erg Phcne: 208.359.3020 x326
Rexburg V 83440 www.rQxburg.org Fox: 208.359.3024
NAME Y %k j-
PROPERTY ADDRESS
SUBDIVISION
PerrrmiW
Required,! ►!
MECHANICAL
Mechanical Contractor's N te nrca Business Name: - I� tia niui I .LC.
Addr ess, 30 /� �• as .� Ci TI" r 11 5 State Zip �O I
Cell Phone: { ) -- Business Phone: ( .249) O (o 70
Fax: ()Oa �, Q /_00 __ _ „__ Email
M echanical Estimate $ Q�� ,. (Commercial/Multi Family Only)
FZXTU",S & AAPL1AlV'CES COtTTN,T (Single Family Dwelling Only)
Furnace Exhaust or Vent Ducts
Furnace /Air Conditioner Combo
Heat Purnp
Air Conditioner
— Evaporative Cooler
Unit Heiner
Space Heater
Decorative gas -fired appliance
Incinerator System
— - Boiler
Pool Heater
Dryer Vents
Range Rood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
T __ Fuel Gras Pipe Outlets including stubbed in or future outlets
Heat (Oxcle all that apply Gaa Oil Coal Fireplace Electric H drom
Mechanic A Sizi Calculations mu be submitted with Plans & Application
Signature
The
schedule is the same as
I),:PjOA
Date
the State ojldaho
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License number
I 'd L91L'ON 1VOINVHOD VHdld NMI 80OZ 'tiZ'AON