HomeMy WebLinkAboutAPPLICATION & INSPECTION TICKET - 12-00227 - 431 S 3000 W - County MechanicalQ',Ko--
c I rr o FBuilding Sofety Depqrlmenl
Clty ol Rexburg
Phone: 2M3722326
Fox208.359.fi22
RE)(BTIRG
tun:llful&lll.lly&wannfty35N I'tE
tD 83140 www,reburg.org
NAME
PR ADDRESS 4a,l <-aCnc W
SUBDTVISION
Required! ! !MECHANICAL
Address lq\D [+oLLtFe.uK-, city-l€State lQ
Cell Phonc ( )Business Phone: (52? -1-111
For:( ) 52q->1q3 Email
Mechenlcal Estimate $(CommerciaVMulti Famlly OnIy)
Mechanical Contactor's Name: Frrsl &ll {eDd Business Narne:
Furnace/Air Conditioner Combo Dryer Vents
Heat Pump Range Hood Vents
Air Conditioner , _ Cook Stove Vents
The
Licenscnumber
scladyle is the sure as by tln State of ldaho
zip-tt<b I
'IXTARE A, APPLIAI{CE&COUNT (Singlc Famlly Dwellkg OnU
L/Ttxnace O)EUI Exhaust or Vent Ducts
/
EvaporativeCooler AAD WpathFanVentsUnit Heater 4" - - t other similar vents & ducts:
spaceHeater u
-/*/fA-
Decorative gas-fired appliance (
Incinerator System /
Boiler
Pool Heater
Fuel Gas Pipc Outlets including stubbed in or future outlets
Heat(Circleallthatapply) Gas Oil Coal Fireplace Elechic Hydronic
Mechanical $izinq Calculations must be submitted with Plans & Apnlication
Point of Deliverv must be shown on plans.
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