HomeMy WebLinkAboutALL DOCS - 11 00418 - 2596 N 2000 W - County MechanicallL/2112011 wED 15r 18 FAx @0 01/ 0 01
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CITY OI'Bulldlng Sofety Deporlment
Clty of Roxburg
Phone: 20A372.2326
Fox:208.359.fi72
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www.rcxburg.otg
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NAME
PROPERTY
SUBDIVISION
W Permit#
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Required! ! !MECHANICAL
Mechanical Conhactor's Name: €r"sl bll ?(ekk-l g*iness Name:
eaaress lq\D HpLLtF&Uity lF state IQ zip-i3<l0 I
Business Phone: ( ) 5?) .1-n1Cell Phone: ( ) Bushess Phone: ( ) b7? :1-]-1-l
Fax;( ).- 6"-q-).1q3 Emai, Cf',tiS
Mechanical Estimate $(CommerciaUMulti Family Only)
FIXTAREE&, APPIilNCES coUNT (Slngle Famlly Dwelllng OnIy)
,./furnace Rep\aCe_ G-S Exhaust or Vent Ducts
Flrnace,/Air Conditioner Combo Dryer Vents
Heat Pump Range Hood Vente
Air Conditioner Cook Stove Vents
Evaporative Cooler _Bath Fan Vents
Unit Heater ottrer similar vents & ducs:
Space Heata
Deoorative gas-fi red appliance
Incinerator System
Boiler
Pool Heater
Fuel Gas Pipe Outlets inolnding stubbed in or future o.utlets
Heat(Circleallthatapply) Gas Oil Conl Fireplace Electric Hydronic
Mechapigal Sizins Calculations must be submitted with Plans & Annlication
Point of Deliverv must be shown on nlans.
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,sThe
Llcense number
schedule Is the same as the Slate of ldaho
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Bldg.Elect. F Mech' O Frre
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PennirNo. ii 'iit'
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Comm.
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DFINALD DISAPPROVED
N NOTAPPLICABLE
fIN'APPROVED DWGSINSPECTED ITEMS CON
INSPECTOR'S ACTION
finennoveo-DC.O.(FINAL)
ACTION REQUIRED:
D DtD NOT NSPECT
fU-hct cb.l@t
/i
Request Rec' d By Ahglltsl{'i_Date
Phone No.
lnspection TYPe
Day /Time Req.
lnspector's RePort
Inspction
Req. BY