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HomeMy WebLinkAboutPA SUMMARY - 18-00695 - 2559 N 4000 W - Gas lineApplication Summary Application Number: 18-00695 BLD-PLBGR - Plumbing Residential Only Received Date: 12/11/2018 2559 N 4000 W - gas line Address: 2559 N 4000 W Property Information 2613 N 4000 WMHMH03425 People Information Owner - Jordan Hurt 477 N 2600 E jrcplumbing@live.com St Anthony, ID 83445 Applicant - Jordan Hurt 477 N 2600 E jrcplumbing@live.com St Anthony, ID 83445 Plumbing Homeowner - Jordan Hurt 477 N 2600 E jrcplumbing@live.com St Anthony, ID 83445 Home: 208-390-0275Mobile: 208-390-0275 Contractor Information Plumbing Contractor - JRC Plumbing Inc PLB-C-12162 (02/28/2019) PO BOX 75 Teton, ID 83451Work: (208) 390-0275 Mobile: (208) 390-4063 Page 1 of 2Print Date: 12/11/2018 Application Summary Application Number: 18-00695 BLD-PLBGR - Plumbing Residential Only Received Date: 12/11/2018 2559 N 4000 W - gas line Address: 2559 N 4000 W Permit Information Detail Description Quantity Value gas linePlease describe the work being done. 1,000.00What is the total cost of the plumbing system being installed? 1,000.00 1.00Are any gas lines being installed or repaired? No = 0 Yes = 1 1.00 Are any water heaters being installed? No = 0 Yes = 1 0.00 Are any water lines being installed? No = 0 Yes = 1 0.00 Are any sewer lines being installed? No = 0 Yes = 1 0.00 Are any lawn sprinkler backflow devices are being installed or repaired? No = 0 Yes = 1 0.00 Are any gray water systems being installed or repaired? No = 0 Yes = 1 0.00 How many in-floor heating zones are being installed or repaired? (hydronic heating) 0.00 NIs there any mechanical work being done other than what is listed above? If yes, please explain below YBy 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) $0.00Plumbing - Misc. $65 base + $10 per ea (BLDPLWRK2) $65.00 Payment Information Payment AmountTender Type Reference InfoPayment Date Page 2 of 2Print Date: 12/11/2018