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APPLICATION & RECEIPT - 14-00566 - Super 8 Motel - Unit Heater
M Building Safety Department 35 N. I,' E., Rexburg, Id 83440 City of Rexburg OWNER'S NAME a 1 (y 7 MAI rr,� PROPERTYADDRESS QI.Is W 1116 Permit# SUBDIVISION PHASE LOT BLOCK Requiredlll Mechanical CITY OF REXBURG nv Awdml rnmlly eommunny Mechanical Contractor's Name ��B�u"siness Name Address 41zqyy S" City J.ta(1LCY ]0 �Q.Q.iS State Td__ Zipj` 3gj,Z Cell Phone Business Phone Ll` rJL,'2 '372 Fax Email _ n t 551 W M25 Q, KM (COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (Contracted Amount) $ 3 0 T (lnchrdet the rort ofmaterials installed regatrlkst ofthe pally supplying it. The fees fisted under this its*nfion type rhall apply'to any and allmechanhal installations not rperifeca4 mentioned elmebere on this form). Up to $10,000 (total cost of system x 0.02) + 60 = $ 0 Between $10,001- $100,000 ( (total cost of system — IM) x 0.01) + $260 = $ 0 Over $100,001 ( (total cost of system —100.000) x 0.005) + $1,160 = $ RESIDENTIAL New: Single Family Dwelling, including all buildings with wiring being constructed on each property. rBased on living space, see definition below) Up to 1,500 sq ft - $130 ® 1,501 to 2,500 sq ft - $195 2,501 to 3,500 sq ft - $260 0 3,501 to 4,500 sq ft - $325 Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof ($325 + ($65 x # of additional 1.000 sq ft or portion thereof)). New: Multi -Family Dwelling (Contractors Only) 0 Duplex Apartment $260 © Three or more multi -family units: $130 per building plus $65 per unit: (8130 x # of buildings) + (865 x # of units) 0 Existing Residence, Modular, Manufactured or Mobile Homes and Detached Shop: $65 fee plus $10 per **HVAC equipment being installed up to the maximum of the corresponding sq. ft. of the building 1865 + (810 x # of fixtures)) MISCELLANEOUS Plan Check: $65 per hour Technical Service: $65 per hour Gas Line: $65 Water Heater Replacement: '$6'5_�L_`� Requested Inspection: $65 fel, / Fireplace/Solid Fuel Burning Applianu� $65 per inspection *Living Space — space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, washing, recreation, and sanitation purposes. An unfinished basement is considered part of the living space. **Examples of HVAC Equipment -furnace replacement, solar, water heater, etc. `tl-G a02el � . . 1AVe:- C-1512 121/1 /N of Licensed Contractor License number & Exp, date Date Xpress Bill Pay - Payment Processing ,i gih%Fx'4 REABURG XBP Confirmation Number: 5387472 https://www.xprp-, illpay.com/common/payment_process.php I -o-Transaction detail for payment to City of Rexburg. Transaction Number: 31666292PT Visa — XXXX-XXXX-XXXX-2035 Status: Successful 14-00566 Billing Information Brent Conan ,83403 Item Quantity iMechanical Permit 1 City of Rexburg 35 Northist East Rexburg, ID 83440 208.359-3020 Date: 12/1512014 - 10:37:15 AM Item Amount $65.00 TOTAL: $65.00 Transaction taken by: amanda I of 1 12/15/2014 10:37 AM