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HomeMy WebLinkAboutAPPLICATION & INSPECTION TICKET - 12-00094 - 4 Mill Race Rd - A/C03/07/2012 wED 11r t4 FAx @oot ZtotcF cltl op 35N ldE 43440 Bulldlng Sofety Deporlment Clty of Rexburg Phone;2083n.n26 Fax:2O8-3593O2?wwwrexburg.org REXBURG ,l nrarlat! &nlf Chm munlty NAME PROPER' SUBDIVISION Permit# Required! ! !MECHANICAL Mechanical conhactor's Name: Fr.gt CLII {aDe-l Business Name: Add.." l$\9. |ldpt!tPo'e.K_, city t€state___jp_,,ap-@ I Cell Phone: ( )Business Phone: (1 5"7 -1-n1 Fax: ( ) 52Q-).1Q.a Mechanical Estimrte (commerciel/l\rtulti Famlly only) FIXTIIRES & APPLUNCES couNT (stngre Fanily Dweiltag onMFurnace Furnace/Air Conditioner Combo DryerVents RangeHood Vents Cook Stove Velrts Bath Fan Vents other similar vents & duots: the Srale ofldaho 4 l/ Air Conditioner Evaporativo Cooler UnitHearcr Space Heater Decorative gas-fired appliance Iincinerator System Boiler Pool Heater F\el Gas Pipe outlets including stubbed in or future o'rlets Heat (Circle all that apply) Gas oil coal Fireplace Elechic Hydronic The schedule ls the same as O rNspncrroN rrcKErO A BHg. O phmb. O Ebo. O Mcch. O Firc Date 5 1-\L No.vr nq..r S.'rJL\iti\ _ pennir N, ',; fX.}Jl.\ Address -i {'1r\lroct, 'fair,,cl Inspection Type Ff,.k, Day /Time Req. 5- Inspector's Report O Res,B comm../, \ INSPECTED ITEMS CONFORM TO APPROVED DWGS INSPECTOR'S ACTION (eernoveo flc.o. (FTNAL) AC|"ION REQUIRED: f] DISAPPROVED !NOTAPPLICABLE trv Dx flN/A DFINAL DOIO NOTINSPECT Pil - hA.ctrlCoDt