HomeMy WebLinkAboutALL DOCS - 12-00040 - 251 East 1st North, Rigby - Gas Furnace0r/3r /7ALZ rUE 10:42 FAx @ool
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Buildlng Sofely Deporlment
Clty of Rexburg
Phone:208.372.2326
Fsr:208.359,3072
CIT? OP
REXBURG
An e riu\ funl ty C},wa ua llY35 N I'E
Rexburg, lO 83440
NAME
PROPBRTY ADDRESS
wwwrexbur{!.org
SUBDIVISION
Reqaired! ! !
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
License number
schedule ts the same as
Range Hood Vonts
Cook Stove Vents
Bath Fan Vsnts
other similar vents & ducts:
the Stale ofldaho
' Boiler
Pool Heater
Fuel Gas Pipe Outlets inoluding stubbed in or future outlets
Heat(Circleallth*apply) Gas Oil Coal Fireplace Electric Hydronic
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MECHANICAL
Meohanical Contractor's Name: €trSt Gtl {eUX-l gusiness Name:
eaar"r, l$tD d,DLLtF&eK. city ltr - st"t -!-P n*@ |
Cell Phone: ( ) Business Phone: (5"7 -1-n1
Fax:( ) A2Q-)1Qg ernoit
MschanicalDstimate (CommerciaUMultlFami$ Only)
FIXTABffiAPPLIANCES COANT $tngte Fan tU Dwelling onlv)
l,/Fumace q1Jt @frVClWJVYf ExhawtorVentDucts
F\rnace/Airtonditioner Combo Dryer Vents
Space Heater
Docorative gas-fi red appliance
hrcinerator System
Point of Deliverv must be shown on qlans.
Xpress Bill Pay - PaYment Procesig Page I ofl
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City of Rexburg igS ttorttrtst easi i
Rexburg, lD 83440 i208-359-3020 i
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Totat Paid: I S's.Oo
Transaction taken bY: amanda
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RE,XBURG
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Billing Information
First CallJewell First Call Jewell
. 83401
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iransaction detail for payment to City of Rexburg'Date: 01 t31 t2012' 12;37 :01 PM
Visa - XXXX-XXXX'XXXX{002
Status: Successful
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