HomeMy WebLinkAboutALL DOCS - 12-00389 - 32 N 2162 W - County MechanicalFRoM.RightNow|nc'To.12083593a220g/07/201211-33.29#48228P001/001o
Building SofetY Deportmenl
CttY ol Rerburg
CITY Of
REXBURG
An*tlrc.! hllll,ilYc-oa,rnlniV19 E Moh ,c,lelhgrBxburg'o/g Phono: ?00.359.3/J,nfi26
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NAMN I: ^pRopERTY ADDitrss er Xt l:-tur.,-ul 'Permit#
SUBDTVISION.
Mechanical Confactor', wu-", Business N"me:NQ:'
Address)\+ E--t$rls St, - ctty eJ-$,Ar.r1rr\-state-k\Ob[zip:b5$O5
Cell Phone:
Fex: flol)
Required! ! !MECHANICAL
Business Phonc: (aot)515 - 51Ltl
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Mechenlcal Estlmnte s_ (commerclrl/lvluld Family onty)
(Sin3le FanIIy Dwelling OnlY)FIXTIJRES & APPLIANCES COTJNT
\. ", Fumace
FumaceiAir Conditioner Combo
Exbaust or Vent Ducts
DryerVents
Range Hood Venu
Cook Stove Vents
Bath Fan Vents
other similsr vents & ducts:
Heat t'ump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Hsater
Decorafi ve gas- fired appliance
Insinerator SYstem
Boiler
Pool l{eater
Fuel Oas Pipe Outlets including stubbed in or futr.Ire outlets
Heat (Circle all that apply) Gas Oil Coal Fireplace Elecric Hydronic
Liccose uumbor
The. C rt lee schedule is the same as
D4eq$anicsl,,$idngJgalqpletions, mp.$!be su.ErlttSLWJLh Pl*pS &ApqEcdo.+
Point of Pellverym$t F shgwn"gD plsns-
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Signatrua of Licenscd Contractor
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Inspoctiorr Requcst Recrd 8y { Lt[+'-t"'Drte
Req. By Phone No.
Address '4.: fu, ./i0'l tLj
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Inrpector'r Repofi ,( nrt tr fcmm.
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Day ffim Req,
INSPECTSR'S ACNOT*
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