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HomeMy WebLinkAbout12 00491a 19 E ^J/{o,tr Sexburg. {)83140 ionoftOraxburg.ofgu/rvw.rprburg.org Bulldlng Solely Deportment Cfty ol f,exbwg Phqre : 2(8. 3 59 -gX) \JZ 6For:zod.3s9-m 3ozz- -4v1 REXBURG Ancl/r, al hn lly C.a n m.a i, y PROPERTY Required! ! !MECHANICAL Mechanical Contractor's Name:l-Q"<--_susiness Name: RJbhL NCt, r I n E cityCal drp€ t I s w"J-|d,__zip_Xika5 CcllPhono:(. )_Businoss Phone: ( ) Fax:( I {nJ:OAJO - _-Emair I Mechrnlcrl Erdmrte $- (comrnercleuMuld tr'rndly only)CDYN FTXTUNES & APPTJINEF.S COTINT t. ... " Furnace (Sia3le FamU Ilwetling Onty) Furnacc/Air Conditioner Cornbo Heat Pump AirConditioner Evaporativc C,ooler Unit Hcatcr Spmc Hcetcr D*orative gas-fircd appliance Incin€ratm Systcm Boilcr Exhaust or Vent Ducts DryerVents RmgcHood Vents Cook Stove VenG Bxh Fan Vents other.cimilar vcnts & ducts: Du5 Pool Hentcr Fucl Gas Pipc Outlcts including stubbd in or frrturc outlsts Heat (circle all that apply) Gas oil coal Firoplacc Elechic Hlmnic Mps$*ntcat sldnfi,-Q.atcutrfiong must bc submit&SJvrtt pjens & Appligt$lsP.g_lnt of PdlyBly'Suct Qe."flhg!!E! on plans. E&uc *lgr/,AnU _Sigmarc of Uccnscd Contricbr lo- LLa-12 Dstc schedule k the sdnte ds the Stote of Iddho t00/ t00 d 969cq# 99.20 0 tc,Ljc/92/o I zz0c89080cL or 3ut moN rqotu.ytou; I INsrncrIoF{TICKEP n Bldg.tr Pru*u.O Ekct. P Medt' U Fire x*, s,r &andL-w* t t /a,/lz tP nn* ^l/)u/ Ptrone rto- 5 tS',ffa?- ' Penuit na lL 00ttQ I ' " lnspetion TYPc Day /Tim* Req' Rcq. By Prujecl Addrest Intpeetot'* RePort W Res n comm. ffiMT0APPRovHnFwff$flY uN ilFINAL[J DISASPROVTD ilNSTAPPLICAE|E LI NIA INSPECTOR'S ^CTION fr6u*o,u, ilfl.s. {nNAL} AfTloN nTQUIRED utrts l*{rl}'l5pgcr fs.tsrs.c5,lc*lblg' . Job CPn O rnsrncrroilrrcxat * BIdg. tr Fhmb. I Eh*" X Mcch. il Firr/\ lnspcri*n Reguasr Rcc d By Vl ct uw lDl%/t Z_- Ptsne r*a. 5c4 - 5,8td*,,,. No. lnspeetion Type Dayfime nrq. , t? l?t/t?".1':_bp,, a.ryt.- . _" _ Inspector's R*porl X Res n comrn. INSPfiCTES tTtMs csNFo*M mArpn0vrCI 0rtrss Req. Addrsss INSPHCTOf{.S ACNON NAPPROVIS nc.0. {FtF,lAL) ACTION Rf,QIJIR€D: ;#,ruu*ooo*o fl N{n APPL|CAET_E UY f,r'l ilnrn il nH^L il Drs t{{rrrr{$FrcT lhr6*. Jot c0pr H. bqrcbrtcogy