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35 N. 1s E., Rexburg, Id 83440
OWNER'S NAME
PROPERTY ADDRESS
Vater Meter Quantity:
Building Sofety Deporlmenl
City of Rexburg
Permit#
**********>kxxxvatet Meter size :
CITY OF
REXBURG
Ameia\ FomU Community
Required!!!Plwmbiog
Plumbing Contractor's Name Hrll , r jn,,, E*co.uat;,3k1*,, ,"-.
Address 70Y"t186 cityRe-xLury stut..7D zip S7Vq0
cellphone Tox-3El-101( Businessphone,"ts( -4rfu1 .
v* 1\6'4\01 r.^r Lillnl son6o t[o,-r,e.,f
(COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (ContractedAmo.,nt) $_
(nckdes the n$ of materiak installcd regardless of the parg vtpplingir. Thefees /isted under this inrpection yrpe tball Epf to ar and allplunbing
not specifca@ nentioned eheuhere on thhfom).
tr 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) + g260 = g
tr Ovet $100,001 ( (total cost of system - 100.000) x 0.005) + g1,160 = g
RESIDENTIAL
Neut: Single Family Duelling, including all baildings aitb uiring being construaed on eacb propmy. (tBased on lioing space,
see definition below)
1.000 sq. ft. or portion thereoO).
Neax Multi-Family Darclling (Contactors Only)
fl Duplex Apartrnent $260
tr Three or more multi-family units: $130 per building plus $65 pet unir ($130 x # of buildings) + ($65 x # of units)
n Existing Residence, and Detached Shop: $65 fee plus $10 per fixtue up to the maximum of the corresponding
sq. ft. of the building ($65 + ($10 x # of Frxrures))
tr Gray Water Systems: g130
B Lawn Sprinklers/Backflow Device: 965
n Modular, Manufactured ot Mobile Homes: $65 fot sewer and water stub connections
tr Multipurpose Fire Spdnklet and Domestic Watet Supply System: $65 fee or $4 per sprinkler head, whichever
$ gfeater
Senter & Vater
E $38 Sewer Llne liS38 Water Line E$65 Sewer & W'ater- if inspected at the same time
tr $65 Sewer turnaround under house (change from septic to ciry)
MISCELLANEOUS
tr Plan Check 965 per horu
tr Technical Service: 965 per hour
tr Gas Line: $65
E Water Heatet Replacemenr $65
tr Requested Inspection: g65
tr Hydronic Heating: $65 + ($10 x # of manifolds/zones)
*Living Space - space within a dwelling unit intended fot human habitation which may reasonably be utilized for sleepiog, eating, cooking,
bathing, washinpfGqeation, and sanitation purposes. An unfinished basement is considered part of the living space .
f\ct- Joq Eo la-n-r7
E Up to 1,500 sq ft - $130
n 2,501. to 3,500 sq ft - 9260
tr Over 4,500 sq ft 9325 plus 965 for each additional
ofLicensed Contractor
E 1,501 to 2,500 sq ft - 9195
E 3,501 to 4,500 sq ft - 9325
1,000 sq ft. or portion thereof ($325 + (965 x # of additional
License number & Exo. dare Date
Xpress Bill Pay - Payment Processing https : //www.xpressbi llpay.com/common/paymentjrocess.phpo
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City of Rexburg
35 Northlst East
Rexburg, lD 83tt40
208-359-3020
XBP Confirmation Number: 4468094
3 Transaction detail for payment to City of Rexburg.Date:1012912014 - 3:56:27 PM
,ltem Amount-- "--"t* ..-...----^".
$38.00
TOTAL: 538.0A
Transaction taken by: amanda
Transaction Number: 30133S23pT
Visa - XXXX.XXXX-XXXX-3222
Status: Successful
Billing Information
Chad B Hill
,83440
10/2912014 3:56 PM