HomeMy WebLinkAboutALL DOCS - 10-00145 - 116 E 1st S - Mechanical ID 110
Building Safety , men U �, X` 17 CITY o F
City of Rexburg '' ,,,iei, REXBURG
% 35 N 1st E Phone: 208.372.2326 •I . A Family Community
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
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OWNER'S NAME S • • _ t
-` 10 00145
PROPERTY ADDRESS / / I_' / " = S'e -
SUBDIVISION 116 East 1st South - Furnace
PHASE LOT BLOCK
Required!!! MECHANICAL
Mechanical Contractor's Name: `.�'-v•;s /7 -yd4i Business Name: ,f7tYt/ • «./ ht °fi -r "�/6/<
Address 3 S5 / t .l A City /? :7 4 State - Zip 7 3 Y 5Q
Contact Phone: (2 3) .S..ic „ 31 G 0 Business Phone: (.:k.:1) 7 S' " F
Email Fax e ? - 75'f ' 7 / S.?
Mechanical Estimate $ (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
X Furnace ¢.14 GA T'- 4 '�'- Exhaust or Vent Ducts
Furnace /Air Conditioner Combo 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
4 (
Decorative gas -fired appliance
Incinerator System
Boiler (t, le&
Pool Heater
Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Oil Coal Fireplace Electric Hydronic
,y— /'7e-- - -- /4 % ‘/ _2a- /t)
Required! Signature of Licensed Contractor License number Date
6
Receipt Number: f9401
lity Development
D. 83440
x (208) 359-3024
kRiiWt, Na Iktattlia' t RTERE HANIE
•
Orttlinat#ne ., Amount
••• ' F '• •• • • ff••'':. Attl9Unt ' PtIld
tesidential Fixtures $85.00 $85.00 $0.00
Total: $85.00
slr. •• s 14 History
Pee Degt(icripotiort ' Artio;unt Paid Punt-tit it'
Payment
bcttit
$ 85.00
$85.00
PAID
APR 2 2 2 010
CITY oF R
g)(HURG
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