HomeMy WebLinkAboutPA SUMMARY - 18-00604 - 9601 S 400 W - Gas LineApplication
Summary
Application Number: 18-00604
BLD-MCNTYM - Madison County Mechanical Miscellaneous
Received Date: 10/26/2018 9601 S 400 W - Gas Line
Address: 9601 S 400 W
Property Information
9601 S 400 WRP04N40E086613
People Information
Plumbing Homeowner - Willard Burwell 9601South 400 West
dee.burwell@yahoo.com Rexburg, Id 83440
Mobile: 2083176690
Contractor Information
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Permit Information
Detail Description Quantity Value
Please describe the work being done.
What is the total cost of the plumbing system being installed?
Are any gas lines being installed or repaired? No = 0 Yes = 1
Are any water heaters being installed? No = 0 Yes = 1
Are any water lines being installed? No = 0 Yes = 1
Are any sewer lines being installed? No = 0 Yes = 1
Are any lawn sprinkler backflow devices are being installed or
repaired? No = 0 Yes = 1
Are any gray water systems being installed or repaired? No =
0 Yes = 1
How many in-floor heating zones are being installed or
repaired? (hydronic heating)
Is there any mechanical work being done other than what is
listed above? If yes, please explain below
By checking this box, I acknowledge the requirement for
contractors to be registered with the State and/or claim
exemption from this requirement as a homeowner working
on my own home.
Comments
Fee Information
Fee Code & Description Amount
$65.00Plumbing - Misc./Hourly/Extra/Reinspect (BLDPLWRK)
$65.00
Page 1 of 2Print Date: 10/26/2018
Application
Summary
Application Number: 18-00604
BLD-MCNTYM - Madison County Mechanical Miscellaneous
Received Date: 10/26/2018 9601 S 400 W - Gas Line
Address: 9601 S 400 W
Payment Information
Payment AmountTender Type Reference InfoPayment Date
10/21/2018 Credit Card $65.00
$65.00
Page 2 of 2Print Date: 10/26/2018