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Ph o ne: 20&359-302O x322
Fax 208-359-3024
cdd@rexburg.org
PERMIT APPROVED: YES/NO
'19 E. Maln St.
Rexburg, ldaho 83440
www.rexpurq,orq
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Permit #
ARE APPLYINGPLEASE CHECKTI|E TYPE OF PERMIT(S) YOU
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tr Combustible dust'producing operations
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tr Cutting and welding operations
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City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
Date: 11 I 01 I 2013 - 12:55:4
Extended Amount
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Transaction taken by: amanda
Transaction Number: 230506/IGPT
Visa - XXXX-XXXX-XXXX-I 465
Status: Successful
Quantity
1
Item Amount
$50.00
TOTAL:
Billing Inforrnation
Cody Taylor
, 83401
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