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APPLICATION & RECEIPT - 14-00072 - 875 Widdison Ln - Furnace/AC Unit
FROM TO.12083593022 02/ 1t /201 4 16.59.25 #48420 P.001 /001 ot,ztna'u r4:4s crry or R@xbrnh') 35&s0zz traxlgss sozz P.001t001 Bulldlng Sofety Deporlmenl OV ot Rexburg35 N, 1* Il., Rcxbrug ld 83440 OWNFR'I} NA[48 I'ROII.bRIY ADI)RE,SS STJBDTVISI()N permitn lL/ 'A007a PHN$H Required!!! Lc)1'RLOCK-- Mcclranicat contracror's N^,r,u ( tef l-t Nn i,.- \ --*Btuincss Nanrc ll t qlt,f N h, t -A- {f:* naa"*, .-2:,1 ll 4 /'ll, '' cirr-0lM"ltXl1-sror,-rLd -.*-.2ir 63Q,,o..5" TJ fl ( Mechanical Cell Phone ( ) - . _-. -.-.Jlusineas Phone (1 5A S 5-8_t" ?, / ' -.. ..; t-\ t\.. t t1 |Fa*( 1 /lOD C,t-o 1Q"""* -^-yt^rt"iy!''t"t'u,.!F,.ii !:"JgltLnot*)Lrc"(Lf"t"ctr;l.C,t:"r-,,"ttr (COMMERCIAL/INDUSTRIAL) Total coet of plumbing syatcm (Cc,nractcdAmounr) $-(wlulu lho nt af nuniuk irutallut nyrdhu ol rltc porX *ppfiagit- Tbofu ltnt rubr tbb inrpection rp thalt appf to inttalluliottt tul tpsdfralfi nnnlionsl ilntlnn na lhb.fonl) u Up to 910,fi)0 /;'otnl qo€t oFsystem x 0.02) + 60 = S o Bctrrrccn $10,001 - $t00,000 ( (total rpst of sygtgtm.-.1Q000) x 0.01) + $260 = $ ci Over $1001001 ( (totatcpst pfsystern - 100.000) x 0.005) + $1,160 = $ RESIDENTIAL Nc*: Singlc Ftnily Dwalling,, including oll bnilditzgs vith wtttog bolng conatntcted an cach propetty. (oBeccd on Adng ar,ece, s c e de8 n I tI ot t lt c-lov) n Up to 1 ,500 st1 ft - $130 n 1,501 r.o 2,5fX) sq fc - $195 o 3,501 to 4,500 sc1 tl- $3252,501 to 3,500 sq ft - $260 (-)rrcr 4,500 sq fi $325 plus 965 for ench adrlitional 1"000 sq ft- or portion thereof I ($325 + ($65 x # of ndditional l.(X)(} n{"ft or porricn therer:0). .Ncv: MultiJ:amily Dvelling (Conneaton OnIy) n f)uplex Apa.rrmcnt $?60 Lr 'l'lrroe or rnore rnnlrj-femily units: $130 pcr llrildingplus 965 perunir (dtj0.r # of buildinge) + ($fF r *pf unjr.q) X- Eli:ling ltesldence, Modular, Mrnufachrcd or Moblle Homea ancl Detachcd Shop 965 iee phu $10 pcr' \ r"rl"fV.A(J ccltripmcnt beirtg installecl ufr ro thc maxinrum of rhe coresporrding sq. ft. of thc brilding - ($65 + (310 r #, p{ 6+trues)) | r.1...;r-f-A tl f,u. i rr 4 (. ,-. f \cMISCELII\hIEOUS I n Plon Chech: $65 pct hotu u Technicul Servicq $65 pcr hour ct Gae Linc: $65 rr 'Wttcr Flcrtcr Replacenrenu $65 o Rcquceted Ingpectionr 965 o Fireplace/Solid Fucl Burniag Applirnce $65 pcr inspection *Ijving Spoce - sprcc widrin a dwclling urrit intcndcd for hrunon hsbitrrtion which rnay rensonrrbly be utilircrt for nlccping, ccring, cooking,bltlring. wedirt6, rccrcltion. aod s*rritatiorr purporq$- An uofurished bsscmcru b coniirtered pri of the tiving spnce.trl)xnrnSet of I IVAC E<}ripnrent-trrrnacc replnceme.nt, solu, urarcr hcoter, etc. /S Xpress Bill Pay - Transaction Details h@s : //www.xpressbil lpay. com/util s/printerFriendly.php Close Transaction Details XBP Confirmation Number: 132304 f_T-ransaction detail for payt*"t to lity "f Re*ry 1 Transaction Number: 2843311PT I Visa XXXX-XXXX-XXXX-5575 i status:Successfu/ Item Amount Extended Amount DJ"' oztgrr;o14-fi :s&26 AMI Account # 14-00071 14-OO072 Billing lnfornntion Jeffery L. Cox , 83605 ,ltem ll/echanical Permit llvlechanical Permit Quantity 1 1 sis oo :$75.00 TOTAL: s7s.00 s75.0A st 50"oCI Transaction taken by: amanda 1of I 2/1912014 I l:58 AM