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APPLICATIONS & RECEIPT - 06-00330 - AMET Building
Aue, I 9, 2008 B:52AM N0,6854 P. 3 l9E Moin Rexburg, tD 83t40 y'onellh@rexburg.org www,rexburg.otg Buifding Sofety Deportment City ol Rexburg Phone:208j59.fi20 Fax 208.&593A24 ******'l't******Water Meter Size: REXBI.IRG A nedca I Fni ly Coamun ity O(o co 33.o Remodeling Yout Building/Ifome (need F.stimate) g Weter Meter Quantity: SURFACE SQUARE FOOTAGE: (ShaU include tle extetior wall rreasueaerits of the building) First Floor Area- Unfinished Bascnrcnt ere _ Third floorfloft area Finished basement area_ Carpon/Deck (30" above gfade)rtrea_ Requhed!!! PLAMBING Plumbing Cofltractor's Narre: t' , ,ZA" fusiness Nsne: Ad&u, 76b '( t. E,hsol y'e// >bd ciry ContactPhone ( ) 3hO /l?85- grsiness phone: ( ) Email-. _ Fo 352 - t776 FIXILIRE QPUNT (inctud,qg "otgbed frxturce) Clotles Washing Machine Dishvasher Floor Drain Garbage Dispocal Hot Tub/Spa Sinks pavatories, kitchens, bar, mop) Plumbing Bstimate S.(CoMMERCTAL/ MULT I-FAI{ ILy Ot\rl.y) C/f ).'fs- JAL\. t.0? 2 ", ',q License Number& Expirrtioo Datc / / O^tu lrorr"yp$S SB'Jr;."* tDe I panitle .rcbed*h t lh salc at nqiliftd by tbc Sbtc of ldabo ,O( Aue, i 9, 2008 8:52AM No,6854 P 5 Building Sofety Deporlmenl City of Rexburg Phone:208.359.3020 Fo\:208.359.3024 clTY of 19 E. Maln Rexburg, lD 63410 janeilh@.rexburg.org www,rexburg.org REXBURG Anerice\ &,nily Community NAME PROPERTY ADDRESS SUBDIVISION Pemrit# CLg &3re LOT BLOCL__ Requbed!!!MECIIANICAL Mechanicai Contrector's Name City Cell Phone () Business Phone ( Fax( ) Mechsoicnl Sstirnete (Comrnerciel/Muld Femity Only) FIX1ARES & APPI.IANCES COAIW Qingle Fantily Dwelling OnIy) Furnace Fumacc/Air Conditioner C ornb o Heat hrrnp Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorativc gls-fued appliance Incinerator System Boilet Pool Heatet Exhaust ot Vent Ducts DtyoVeots Range Hood Vents Cook Stovc Veots Bath Fan Vents othet similar vents & ducts: Fuel Gas Pipe Outlets induding stubbed in ot futute outlets Inlet Pressure $,Ieter Supply) PSI Heat (Cirde all ttrat epp$ Ga$ On CoeI Fircplacc Elecuic Hydronic (11( b I € $gnsnrre of Licensed Contrector License number /o ?f-l-08 ttbcdttA b iln wne u the Stau ofldabo city of Rexburs O ent of Community Development '19 E. lr/ain St. i Rexburg, lD. 83440 Fhone (208) 359-3020 / Fax (208)3s9-3024 Receipt Number:ffitffr#Nmll 06 00330 07-0563 06-0447 06-0448 06-0662 06-0662 06-0662 07-0563 07-0563 06-0662 06-0662 06-0662 06-0662 CHECK RPRRXBP20S Water Meter & parts $1,518.20 Total: $1,101.20 $1,101.20 0912012007 Base Fire Fee 0710312006 Building Permit Fee 0710312006 Building Permit Fee 10/03/2006 Building permit Fee 10/03/2006 Commercial plumbing permit Fee 1010312006 Fire lm pact 0912012007 Hookup Fee/Sewer 0912012007 Hookup FeeMater 1010312006 Mechanical Fee Based Calulation based on 1010312006 Plan Check Fee 1010312006 Police lmpact Fee 1010312006 Water Meter & parts 4996481 66 $ 1,101.20 Total $1,101.20 $400.00 $100.00 $900.00 $6,506.75 $319.20 $1,089.77 $1,000.00 $1,550.00 $620.00 $750.68 $2,507.10 $417.00 06 00330 06 00330 06 00330 06 00330 06 00330 06 00330 06 00330 06 00330 06 00330 06 00330 06 00330 06 00330 j r"f. i,ts d genprntrreceipts Page 1 of 1