HomeMy WebLinkAboutALL DOCS - 12-00047 - 104 S 3rd W, Rigby - Gas Furnace02/06/20L2 MoN 15: ll FAx @ool
(NSD
Bulldlng Sofety Depqrlment
Clty of Rexburg
Phone:208.372.2326
Fox,: N0.359.3022
CITI OF
35N leE
Roxbu4g, D W4O www./erbu4g.o€
REXBURG
Anbrlul &,nl$ Oanuntty
SUBDIVISION
Required! ! !MECHANICAL
Mechanical Contraotor's Name: fr"st Gll {euX-l susiness Name:
Addr"tr lthQ. htptl-tF&eK_, city t€st"t" , O Zip &3<lO /
Cell Phone; ( ) Buginess phone: ( ) 5"? -1-f11
Fax: ( ) Fae_>1qg ,,nd
Mechanical Eetimate $(Commercia UMu lti Frmt[y Only)
Fllqarrt a Appry?rycE+ cOaNT g_trygrepamtry Dweuing only)-i m;,i ffi {u;h T:;::;;,"* Duc'fs
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas-fired appliance
Incinerator Systcm
Boiler
Range Hood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
Pool Heater
sVfirvr$;^ hA^1''lp\;.' *lt, vvt'nda'4'
- tP4e sdud"^le/
Fuet Gas Pipo Outlets including stubb€d in or funre outlets ", I strteHeat (circle all that apply) Gas oil coal Fireplace Electic Hydronic
't+
Llcenee number
lw
Dato
The schedule k tha Esms al the Slate ofldaho
Qvspccrr gNrrcKur OFr -- .'-=-
LJ Bldg. O pfumb.O Eho.Mech. O Firc
Phone No.
Address I I il-o,f;tt'r":,/+
lnspection Type
DaI /Time psg.
,NSPECTOR.S ACTION
rN^SPtcrE
ov ENh/orr*ori,
trC.o. (FTNAL)DDISAPPROVED
ACTfoNREQUIRED: oNtrAPPtlcAELE
DOTONOTINSPECT
DHNAL
ttt", . loO Copf
ni* - t"p.*
-fr
ffil#*#*.,
Xpress Bill Pay - Payment frocelis Page I of1
t]IlY('t.
REXBURG
{sr'
.lrr:r'rr?l:-i hrtrtJl { irrlr.r!'rrlr
City of Rexburg
35 Northist East
Rexburg, lD 83440
208-359-3020
4o Col, Frinter |.s I
) Transaction detail for payment to City of Rexburg.Date:02,1O712012 - 9:23:16 AM
Transaction Number: 141641 33PT
Visa - XXXX-XXXX-XXXX-8002
Status: Successful
Description Reference #Amt per ltem # ltems Total Amt
MECHANICAL PERMIT 1200047 $65.00 1 s65.00
Billing Information
First Call Jewel First Call Jewel
Totat Paid: I S0S.OO
: ,83402
:t-*--'-i
I ,994v4 I
: Transaction taken by: amanda I
i fFrinll r lElosel Il- I':: Payment Service Provided By www.xpressbillpay.com i
https ://www.xpressbillpay. com/common/paymentgocess.php 2/7/2012