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Home My WebLink AboutALL DOCS - 13-00222 - 750 S 2nd E - Rexburg LDS Temple - Locker Rm Remodel-,, crrY o_F IREXBURG' ..- c\, Ame rica\ Fatnily Co m m uni Q COMMERCIAL & MULTI FAMILY BUILDING PERMIT APPLICATION 35 N 1" 8,, REXBURG, ID 83440 208-372-2326 e will provide this for you)PARCEL NUMBER: SUBDIVISION:UNIT# BLOCK# LOT# the Entire Application! If the question does not apply fill in NA for non applicable CONTACT PHONE, # PROPE,RTY ADDRE,SS: PHONE #: Home ( )- \fork ( ) OWNE,R MAILING ADDRESS :CITY; STATE: ZIP: APPLICANT (If othet than ownet) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS CITY: STATE;-ZTP- PHONE #: Home ( ) EMAIL FAX Work ( )Cell ( ) MAILING ADDRESS: PHONE: Cell# EMAIT IDAHO REGISTRATION # & EXP. DATE- How many buildings are located on this propety? Did you tecently putchase this property? No Yes (If yes, list previous owner's name) Is this a lot split? NO YES (Please bring copy of new legal description of propetry) PROPOSED USE: (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Gatage, Commercial, Addition, Etc.) - CIRCLE ONE APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Underpenaltyofperjury,Iherebycertifrthatl have read this application and state that the information herein is conect and I swer that my information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and coffect. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned property for hspections purposes. NOTE:'rhe offrcial marr revoke a on approval issued under the provisions of the 2003 Intemational Code in cases of any false statement or misrepresentation of fact in the plans the permit or approval was based. Pemit void if not started within 180 days. Permit void if work stops for 180 days. d r 3 r t2 Signature of Ownet/Applicant Do you prefet to be contacted by fax, email or phone? Cfucle One DATE WARNING-BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non-refundable and are paid in full at the time of application beginninSlaouryJ'ZUt City of Rexburg's Acceptance of the plan review fee does not constitute plan appmval #Building Pemit Feee are due at time of application** #Building Pemits arc void if your check does not clear# Building Sofety Depqrlmenl City of Rexburg Permit# LOT BLOCK ct f Y oF REXBTIRG C\, -...'* -.--*- Ameia\ Family Commun ity35 N.1$ E., Rexburg, Id 83440 - t /f f Xl atrr- al t /l I I Hdtllne - O\tr/NIER'S NAME PROPERTY ADD SUBDIVISION I u OcLl1 PFIASE Required!!!Plumbing Plumbing Contractor's N4*. Address Cell Phone ess Phone Fax (COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (contracted Amount) $ (ncludu the cost of mateials intalkd regardkss of tlte parg snppling it. Tbe feu listed unfr thi inspution lpe shall appf to art and all p not specifca@ nentioned elsewhere on thisforn). 4ss-2- LUL,*l D Up to $10,000 ! Between $10,001- $100,000 n Over $100,001 RESIDENTIAL (total cost ofsystem x 0.02) + 60 = $ ( (total cost ofsystem- 10,000) x 0.01) + $260 = $ ( (total cost ofsvste x 0.005) + $1,160 = $ New: Single Family Dwelling, including aII buildings with wfuing being constucted on each propetty. (*Based on liuing sPace' see defrnition below) tr Up to 1,500 sq ft - $130 ! 2,501. to 3,500 sq ft - $260 tr Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof ($325 + ($65 x # of additional 1-000 sq. ft. or oortion thereofl). I{ew: Multi-Fatnily Dwelling (Contractorc OnIy) tr Duplex Apartment $260 ! Three or more multi-family units: $130 per building plus $65 per unit ($130 x # of buildings) + ($65 x # of units) tr Existing Residence, and Detached Shop: $65 fee plus $10 per Fxture up to the maximum of the coresponding so. ft. of the buildins ($65 + ($10 x # of Fxtures)) D Gray Water Systems: $130 D Lawn Sprinklers/Backflow Device: $65 D Modular, Manufactured ot Mobile Flomes: $65 for sevzer and water stub connections tr Multipurpose Fire Spdnkler and Domestic Water Supply System: $65 fee or $4 per sprinkler head, whichever is gteater Sewer & Watet n $38 Sewer Line t$38 !7ater Line n$65 Servet & Water- if inspected at the same time D $65 Sewer turnaround under house (change from septic to citF) MISCELI-ANEOUS n Plan Checlc $65 per hour tr Technical Service: $65 per hout u Gas Line: $65 ! Water Fleater Replacement $65 o Requested Inspection: $65 o Hydronic Heating: $65 + ($10 x # o[manifolds/zones) *Li.riog Space - space within a dwelling unit intended for human habitation which may teasonably be utilized for sleeping, eating, cooking, bathing, washiog, recreation, and sanitation purposes. An unfinished basement is considered part of the living space. {*fb3u License number &date D 1,501 to 2,500 sq ft - $195 n 3,501 to 4,500 sq ft - $325 Date Submit by E-mail,,r:Building Sofety Deportmenl 35 N. 1$ E., Rexburg, Id 83440 City of Rexburg - t/tlxtl\\r-1If lll I H^ttrna - OyNER'S NAME The Church of Jesus Christ of Latter-dry pRopERTy ADDRESS 790 South 200 East permit# l'7 0O 2Z.Z- SUBDIVISI95 Rexburg Temple PHASE,LOT BLOCK C ITY O F REXB G C\, Ame i ca\ Family Communitl Required!!!Mecbanical Mechanical Contractor,s 1r1rrrr. Randy Browef Business N"m. JM Mechanical LLC 66&srr3775 N 200 W c'ty F|yqe !g rk__ statellT zip84318 Cell phone 435-51 2-3432 Business phone 435-563 -6267 pr,. 435-563-5703 B-;1 heather.dowd@mmech.com (coMMERcIAL/INDUsTRIAL)Totalcostofplumbingsystem(ContractedAmount)$- (ndtdu lhe cost of maniak inxalled regardbs 0f the par| n4ppfuingit. Thefees litted under this inspection lpe shall appb to an1 and a// muhanical installations not specifca@ nentioned ekeuhere on thisfom). n Up to $10,000 (total cost of system x 0.02) + 60 = $ tr Between $10,001- $100,000 ( (total cost of system - 10.000) x 0.01) + $260 = g tr Ovet $100,001 ( (total cost ofsystem- 100*000) x 0.005) + $1,160 = $ RESIDENTIAL New: Single Family Darclling, including all buililings witb wiring being constructed on eacb property. (tBased on living space, see definition below) n Up to 1,500 sq ft - $130 tr 1,501 to 2,500 sq ft - g195 tr 2,50'1, to 3,500 sq ft - $260 E 3,501 to 4,500 sq ft - g325 tr Over 4,500 sq ft $325 plus $65 fot each additional 1,000 sq ft. or portion thereof ($325 + ($65 x # of additional 1.000 sq. ft. or portion thereo0). Near Multi-Family Dwelling (Contractors Only) D Duplex Apartment $260 tr Thtee or mote multi-family units: $130 per building plus $65 per unit: ($130 x # of buildings) + ($65 x # of units) tr Existing Residence, Modular, Manufactuted or Mobile Homes and Detached Shop: $65 fee plus 910 perxxHVAC equipment being installed up to the maximum of the corresponding sq. ft. of the building ($65 + ($10 x # of fixtures)) MISCELI.ANEOUS n PhnCheck$65perhour tr Technical Service: $65 per hour tr Gas Line: $65 n $fater Ffeatet Replacemenr 965 tr Requested Inspection: $65 tr Fireplace/Solid Fuel BumingAppliance: 965 per inspection xl-iving Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, washing, re creation, and sanitation puq)oses. An unfinished basement is considered part of the living space. **Examples of HVAC Equipment-furnace replacement, solar, water heater, etc. Randv Brower HVC-C-4084 Aug 15,2013 DateSignature of Licensed Contractor License number &date Aug,15,2013 3:34PM LOCATTON OE-WOBKTO BE pONE: Sueet Address Where Work Will Be Done: 7th Soulh 2nd East, Rexburg Businiss Name Where Vork Vill Be Done: Rexburg ldaho Temple August 15,20't3 N0,4579 P 1 CTTY OT REXBIIRG tutwia\ Fni$Camniry 13 U)Zzz- Dates for\9otk to Be Done: Contact Person: Jacci Hunt To:August 15,2013 g Sofety Deporlmenf 35 N. 1* E., RcsburS Id 63440 city of Rexburg Phooe - (208)359-3020 / Hodioe - Q08)37 Z-23aA / F ax - e08)3i9-3022 Phone Number: (208) 468'9115 Cell #: Requitedll!FIRE SPRINKLER Ffue Sprinkler Conttactot's Name: Trent Bice Business Name Phoenix Fire Protec-tion ddds6s5 4130 Airport Road City State-lg-ZipEsoa, CelI Phon e (208\t 407'2J 22 Business Phoae (208) 468€1 15. Faj((?q8-)_461:91i ,oda (COMMERCIAL/INDUSTRIAL) Total cost of fue sprinkler system (Contracred Amount) 03Eeq!e-- (Indade: tbe cost of nateiak installcd regardhs: of tbe pat'fl suppling it The fees lisnd under tltis inspedion rype shall appfi to an1 and allfire spinkler installaliow rtot rlecifcdlb mentioncd elseultere on tbisfonz). s n o Up to $10,000 (totd cost of system x 0.02) + 60 = $ly'00 Between $10,001 - $100,000 ( (totd cost of system - 10-000) x 0.01) + $260 = $- Ovet $100,001 ( (togrl cost of system - 100.000) x 0.005) + $1,160 = $- MISCELLAI{EOUS il Existing Inspection Base: $60 tr Re- Inspection: $65 per trip tr New constmction gl per sprinkler head ($2,000 maximurn) number head FPSC-108 August 15.2013 of Licensed Contractor License number &. date Date ffi Building Sofety Depqrtmenf 35 N. 1" E., Rexburg, Id 83440 City ol Rexburg owNER,s NAME The Church of Jesus Christ of Latter-dry pROpERTy ADDRESS 700 South 200 East Permit# SUBDIVISI95 Rexburg Temple PFTASE LOT BLOCK- ct'l'Y {]F RE,XSURG-{\r ' A mt r i *ls f wtily Ct n munity 13 &)aa Required!!!Mecbanical Mechanical Contractor's 1,1rrrr. Ra ndy Brower Business }.1"-" JM Mechanical LLC 666r.113775 N 200 W c'ty lYdgEgI!- stateU J- zip8431 I Cell Fax phone 435-512-343'2 Business phone 435-56!-6?qZ 435-563-5703 Email heather.dowd@immech. com (COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (ContractedAmount) $- (nckdet the cott oJ nateriah installed regardless oJ the par7t suppling it. The feet listed und.er this inrpection Epe :ha// app! to an1 and all mechanical in$allations not Qecifcalfi nentioned ehewhere on this fom). m Up to $10,000 (total cost of system x 0.02) + 60 = $ n Between $10'001 - $100,000 ( (total cost of system - 10.000) x 0'01) + $260 = $ n Over $100,001 RESIDENTIAL ( (total cost ofsystem- 100.000) x 0.005) * $1,160 = $ New: Single Family Dwelling, including atl bui.ldings witb wiring being constracted on eacb property' (?Based on lioing space, see defini.tion below) E Up to 1,500 sq ft - $130 m 1,501 to 2,500 sq ft - $195 m 2,501 to 3,500 sq ft - $260 m 3,501 to 4,500 sq ft - $325 ffi Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof ($3ZS + ($65 x # of addruonal 1.000 sq. ft. or portion thpreo0). New : Multi-Family Duelling (Contractors Only) m Duplex Apartment $260 n Three or more multi-family units: g130 per building plus $65 per unit ($13-0 x # pf buildings) + ($65 x #.of units) m Existing Residence, Modulat, Manufactuted ot Mobile Homes and Detached Shop: $65 fee plus $10 pet **HVAC equipment being installed up to the maximum of the corresponding sq. ft. of the building ($65 + ($10 x # of fixtwes)) MISCELLANEOUS n Plan Check $65 per hour n Technical Service: $65 per hour m Gas Line: $65 m Water Heatet Replacement: $65 n Requested Inspection: $65 n Fiteplace/Solid Fuel Burning Appliance: $65 per inspection *Living Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, washing, recreation, and sanitatjon purposes. An unfinished basement is considered part of the living space. **Examples of HVAC Equipment-furnace replacement, solar, water heater' etc. Randv Brower HVC-C-4084 Aug 15,2013 Dateture of Licensed Contractor License number &. date Aug 15 1311 17a Nelson Electric 208-745-9282 p.1 Bui ing Sofefy De 35N. t,(E.,Reoug,Idg3440 cityof Rexburg Phooe - (208)359-30Z] / Hodine - (nq372-Aq+ / F*- QOq359-n22 O$[]1iERS NAME The Church of Jesus Christ of Latter{ay Saints PROPERTY ADDRESS TsoS-znd.E., Rerburs, lD83440 ov,NER CONTACT PHONE (208) 6560880 OWNER EMAILADDRESS t3 ooae;q ctT) oF BE{BJ&q Amtritzlfan'illCxarunq\ frl( #r* per€e fdurL - rw ci'w5i Petmit# 0r1 +h'i f."tzrrn'*. tr Approved for temporary power tl Approved for permanent pou'er Requircdlll ELECTRICAL Elecuical Contractor's \f4ms Greg l,lelson Business Name Nelson Electic LLC Address P.O. Box 14? Gty Menan State tD _Zp gg4g0. cellphone (2o8)_39e.3424 ... Businessphone (208)754€389 _. p3-1 (208)74!9282. F,nrailgreg@nelson-elednc[c.com - .. -_. (COMMERCIAL/INDUSTRIAL) Total cost of electrical system (Cmrracted Amouag $?,4es.00._- (Itrckdet tl* a-rt oJ nmtcrialr instalbd ftgt dk$ oJ tbe ptr? $Whry il Tlnfcar frsted urdr thir itzrpdiat ggt sball app! to ary anl all clzarial iwtaltations nt tpc$ca$ acntiozed ebaylter on tht.iotm)t s Up to $10,000 (total cost of system x 0.02) + 60 = $ c Between S10,0fl - $100,000 ( (total cost of sysrem - 10.000) x 0.01) + 9260 = g c Over $10Q001 ( (roFl_cost of system - 100O00) x 0.005) + 91,160 = g Small Works (Contmctots ONLY): $10 fee for wotk not excceding $200 in cost and not involving a change in service connections- Does NOT tequfue inspection. RESIDENTIAL Nelrr Siogb Fzmily Dvelling, includiag .II $n;Id;qgs witb ddog bcing c@srrz,ctcd @ eachpqtetty. fheed a Euiag spacc, sce dcEnitioa bebtc) tr Up to 1,500 sq ft - $130 = 2,501to 3,500 sq ft - $260 tr 1,501 to 2,500 sq ft - $195 tr 3,501 to a,500 sq ft - SSZS n Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion drueof ($325 + 1g65 x # of additional 1.000 sq. ft or portioo thereof)). New: frtuki-Faaily Dvcilbg (hacats &Iy) . c Duplex Aparonent $260 tr Tbree or more multi-family units: $130 per buildi-g plus $65 per unit ($130 x # of buildiags) + ($65 x # of units) tr Existing Residence, Modular, Manufactuted of Mobile lfomes, and Deachcd Shop: $65 fee plus gl0 per branch circuig up to rhe maximum of de corrcsponding sq. ft- of the building ($65 + (S10 x,# btanch circuit$) D Centrat Heating/Cooling Systerns: $65 When NOT part of new residen"^l or FIVAC penxritwith no addirional Witiog tr Spas, Hot Tubs, and Sqrimming Pools: $65 fee for each trip to inspect Puaps -Wa4 lziga ti@, Scwagc (eech a tat) tr 965 up to 25HP og95 - 26 to 200HP tr9130 over 200 IJp MISCELT.AN]EOUS o Temporary Construction Services ONLY:200 amp or less, ooe location (for a period aot to exceed 1 y.ar) - $eS o TeqPorary Amusemcoc $65 fee plus $10 per ride, concessioo or generaror u rrrigatioa Machine: $65 for ccnter pieot plus $10 per rower of &ive rnoror o Tcchaical Sen'ice: $65 per hour o Plan Checlc $65 per hour cl Requested Inspcction: $65 *LivinS Slxce-- space within a dweling unit ioteaded for human babiration which may reasonably bc utilized for slcepi":& eatirg, cookingbathio& u'ashiog, recreatioo, and sanitation purpos€s- An unfnisbcd bascment is considered part of the liviog space. Greg Nelson ELE-C38127 t1130/2013 _. August 15,2913 Dateof Liceosed Co!,tractor Liccnsc nur:abcr & cxD. darc . INSPECTION TICKETI -, O BHg. tr Plumb' & Ebcr. O Meh' O Fire / InspctionRequest:Rec'dBy Oarc y'-t-13 n.i. ny \tt7 /0 .+ r; .Phone N"-4O+44 r,uya,-tDS Te+-tr1z Knrdlfuerrnit No' t3 06722 Address tr Res,ff cor*.Inspeclor's RePort Inspection Type Day ffime Req. INSPECTED ITEMS CONFORM TO APPROVED DWCS rNsPEeroR's AcTloN dnppnovEo IDISAPPRovED DFINAL n c.o. (FINAL) , \D NOt APPLICABLE D DtD NOt TNSPECT ACrloN REQUIRED: NbNg, - Rec'l Acknowledged l$ril. - Olica Copt F-FrF.Cm3 tbroe . Joo CoPY PH - ltlp.firlCo9t City ofRexburg CREDIT- Crcdit Cad i'**--'*.--**1 i!:S199f -0"9*-*$!qSgUe-$ISAS Receipt#: 332 Date:8/11?013 i*--l L li ---**,"-l --'"^^..-..-----t Total Ausunt Due: Total Paymeut: Code: RE)GURG-RecpBl2-1-8-?01 3-saandas 280.00 210.00 RecavedBy: mmdro Page: I o{ 1 (press Bill Pay - Payment Processing https ://www.xpresqbillpay. com/commor/pa)rynentJrocess'phpo it l ":l"Y i) I lf -' RffiKSURfr. {'rstr ,t;r:i*r't*} furwr,! { :',smr!*tY City of Rexburg 35 Northlst East Rexburg, lD 83440 208-359-3020 40 Col, Printer $l i ll Transaction detail for payment to City of Rexburg.ffi 1it*"., .....-."..--...-,..-. Transaction Number: 21816921PT llllastercard - XXXX-XXXX-XXXX-6445 Status: Successful Account # 13 00222 ltem Fire Permit Item Amount $117.00 Extended Amount s117.40 st 17.aa Quantity 1 TOTAL: Billing Information Phoenix Fire Protection Phoenix Fire Protection , 83687 Transaction taken by: amanda Payment Service Provided By www'xpressbillpay.com Copyright @ Xpress Bill Pay 2013 - All Rights Resened I of I 8l1612013 3:40 PM Xpress Bill Pay - Payment Processing https :i/www.xpressbillpay. com/commor/paymentlrocess.php City of Rexburg 35 Northlst East Rexburg, lD 83440 208-359-3020 Date: 08/06/2013 - 4:33:11 PM {r?'Y sr RMKKUKS{&tr **-'._---.. ,t!*ir'ti$? *i$irqriV {,*it414 i{siry * Tnnsaction detail for payment to City of Rexburg. Transaction Number: 21637 119PT Mastercard - XXXX-XXXX-XXXX-2476 Status: Successful 1300222 Building Permit Deposit lQuantity 1 rc ioiitz .auiroins n"-it i'' ,1300222 MechanicalPermit 1 1300222 .Electrical Permit iltem Amount j i$-100.00 i i$1749.65 ll i$603.00 Extended Amountl s-l0o:oo'1 s1749.65' ! s6Ai.0a: 1$ets,oo i$e3.oo *!3.a01-*-'.--t se3.a0:,13O0222 13 00222 13 00222 Plumbing Permit BP Plan Check Fee _ -f *....---- .BP CC Conv. Fee l$174.97j- '-**- r$85.01 5174.97) 585.A1, Billing Information Headwaters Construction Headwaters Construction , 83455 TOTAL:s2918.63 Transaction taken by: amanda ,I lofl 816/2013 4:32PM Xpress Bill Pay - Pa;'rnent Processing https ://www.xpressbi I lpay.com/commotVpa)'rnentirocess.phpo {l: i 'il' \' i} l) ITfiKffi{JRfr . . {.*!, . ir*+i.rlr,*l $imtlii { l, r}i*Jiii{jfy City of Rexburg 35 Northlst East Rexburg, lD 83440 208-359-3020 4r.i Col, Printer ,j I * Transaction detail for payment to City of Rexburg.Date: 06/03/2013 - 5:03:53 Transaction N umber: 206205ZPT lVlastercard - XXXX-XXXX-XXXX-2476 Status: Successful Item Building Permit Deposit Quantity 1 Item Amount Extended Amount $100.00 . S l0A.A0 TOTAL:Staa.aa Transaction taken byl amanda Billing Inforrntion Fleadwaters Construction l-leadwaters Construction , 83455 Payment Service Provided By ywuxpress b! I I pay,com Copyright @ Xpress Bill Pay 2013 - All Rights Resened 1of 1 61312013 5:04 PM Done#f) 13 00222 Rexburg LDS Temple - Basement Remodel 07102113 Routing: NA I Don Allen (Please review by Monday, July 8) AP REV / n Current Status Please complete the following: Done NA F I Review Plans t I Enter Notes for the applicant under Checklist in the Workflow F ! Update result in the Workflow 7 I Return site plan to Amanda Saurey Please indicate time spent in hrs/min reviewing the plans: T, '" Notes: Done - { ,{ t3 00222 Rexburg LDS Temple - Basement Remoder 07 /02t13 Routing: Mechanical NA r Quinton owens (please review by Friday, July 5) I Current Status Please complete the followine: Done- NA ,{ tr Review plans J F u Enter Notes for the applicant under Checklist in the Workflow n ! Update result in the Workflow ( r Return building plan and this check list to Amanda Saurev Notes:'/t An rrruvLw tlrurJ Jobsite Copy is on conference table 13 00222 Rexburg LDS Temple Remodel 6t05t20r3 Routing: Electrical Bret Stoddard (Please review by Thursday, June 13) Current Status Please complete the following: NA n Review Plans r Enter Notes for the applicant under Checklist in the Workflow I Update result in the Workflow r Return building plans and this checklist to Amanda Saurey Please indicate time spent in hrs/min reviewing the plans t ll-ilP. Notes: i{tr NA r REV I Dot' d t M V l5 - coa>> City of Rexburg I P-GASLINE- Plumbine Gas Line wATERHTR- w;tcr H;;i€- idJ-***r * *- ing Commcrcial bascd o{f l.alualion t Tot*l "Amotnl Due: Total Pryure$t: Cod*: RSI$URS ReeprS?8 3l 7 ;0:j ftontdrsk (ta. R.&"e.nrrz) Receipt#:3?8 Date; ?/3112013 220.00 220.00 Pag*: I oflRcceived By; &onrdr*k Xpress Bill Pay - Payment fSsine Page I of2 \5- 0o*>e f F", R"ll"'^'.) {:t'f) #i:City of Rexburg 35 Northlst East Rexburg, lD 83'f40 208€59€020 of Rexburg.Date:0713112013 - 1:56:51 PM Joua$!9- lltgT l*11t .--,. lxtenlgo l1t.gy1!, ,t l$zoo.oo Sz6o.ao', TOTAL: 526A.AA Transaction taken by: marianna --: Iii ! Transaction detail for Frinter & Billing Information G RAMMELL .83440 Copyright @ Xpress Bill Pay 2013 - All Rights Reserved Transaction Number: 21558861 PT Visa - XXXX-XXXX-XXXX-1 663 Status: Successful hups ://www. xpressbillpay. com/common/paymentjrocess.php 7/3u2013