HomeMy WebLinkAboutAPPLICATION & RECEIPT - 14-00557 - 132 Syringa - Gas Linevv
Building Sofety Deporlmenl
City of Rexburg REXB
CITY OF
Ame i @\ Famill Conmuni ty
URG35 N. 1$ E., Rexburg, Id 83440
O\XA'IE,R'S NAME {J Ll
PROPERTY ADDRESS
OWNER'S CONTACT PHONE 2A
OWNER'S EMAIL ADDRESS
Permit# lLl -&tJS V
*a,*,t/a"t {':4. a/., 4 JtoF cr* /.*otep-r^. .ffio
cellPhone - J/ 6 -"/Z / ?BusinessPhone 716 -2P7 'i
Requited!!!
Mechanical Contractor's Name
D Up to $10,000
I Between 9101001- $100,000
r Over $100,001
RESIDENTIAL
I Up to 1,500 sq ft - 9130
z 2,501, to 3,500 sq ft - 9260
! Over 4,500 sq ft 9325 plus 965 for each
($32s +
New: Muldi-Faaily Dwelliag (Coaaectotx OaIy)
I Duplex Apartrnent $260
Mechanical
Name
(total cost of slzstem x 0.02) + 60 = $
( (total cost of ivstem - 10.b00) x 0.01) + g260 = g
( (total cost of system - 100.000) x 0.005) + g1,160 = g
License number &date
Fa* Em^t dllare*ffa! fuzA/" f crt
(COMMERCIAL/IND_USTRIAL) Total cost of mechanical system (contractedAmount) $_(ttttlides the cost oJ mateiah imtak(re.Sardler of tbepaQ wppl1tingit. Thefees ksted underthis inspection fpe shatlapp!iutallatiou not tpecifcallt nentioned elrewlten on tbis fonz).
Nevz: Siagle Faaily Dwelliag' iacludiag aII buildiags with wfuiag bciag coasauctud oa cech prcpetty. (*Based oa liuiog space,see defraitioa below)
tr 1,501 to 2,500 sq ft _ 9195
I 3,501 to 4,500 sq ft _ 9325additional 1,000 sq ft. or portion thereof
($65 x # of additional 1.000 sq. ft. or portron thereog).
n Ttfee or more multi-family units: $130 per building plus $65 per unir ($130 x # of buildings) + ($65 x # of units)tr Existing Residence, Modular, Manufactured oi Mobile Aome. and Detachea snopi$osE. ptx gto p.,xxHVAC equipment being installed up to the maximum of the corresponding sq. ft. of ttre bulding'
MIS.ELI-ANE.''
($65 + ($10 x # of fixtures))
I Plan Check 965 perhour
I Technical Service: $65 per hour
t Gas Line: $65
/n Water Heater Replacemene $65
tr Requested Inspection: $65
11 Fireplace/Solid Fuel BurningAppliance: g65 per inspection
*Utiog Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking,bathing, washing, recreation, and sanitation pu{poses. An unfinished basement is .o.r.ider.d p# of the living space.**Examples of FrvAC Equipment-fumace replacemerit, solar, water heater, etc.
l/rc-c-fu/^f /2 -/,-//
Dateture of Licensed Contractor
press Bill Pay - Payment Processing
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XBP Confi rmation Number: 5292187
l- Transaction detail for payment to City of Rexburg.
hftps://www illpay. com/common/paymentjroces s.php
City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
Date; 1 21 1 O I 20 I 4' - 1 2:23:45 PM
.xpressbo
Transaction Number: 31 495835PT
Visa - X)(XX-XXXX-XXXX-2677
Status: Successfu{
Account #
14-00557
Billing Information
Steve Dick
,83440
Item
Mechanical Permit
Quantity
1
Item Amount
TOTAL:
$65.00
s65.AA
Transaction taken by: amanda
1211012014 12:23 PM