HomeMy WebLinkAboutPA SUMMARY - 19-00225 - 1194 N 3000 W - Install New Gas LineApplication
Summary
Application Number: 19-00225
BLD-PLBGR - Plumbing Residential Only
Received Date: 04/23/2019 1194 N 3000 W - Install New Gas Line
Address: 1194 N 3000 W
Property Information
1194 N 3000 WRP06N39E146067
People Information
Applicant - Colton Hjelm 1194 N 3000 W
colton.hjelm@gmail.com Rexburg, ID 83440
Mobile: 2086803739
Owner - Colton Hjelm 1194 N 3000 W
colton.hjelm@gmail.com Rexburg, ID 83440
Mobile: 2086803739
Plumbing Homeowner - Colton Hjelm 1194 N 3000 W
colton.hjelm@gmail.com Rexburg, ID 83440
Mobile: 2086803739
Contractor Information
Plumbing Contractor - Owner Built - Owner Built N/A PLUM (12/31/2020)
Page 1 of 2Print Date: 04/24/2019
Application
Summary
Application Number: 19-00225
BLD-PLBGR - Plumbing Residential Only
Received Date: 04/23/2019 1194 N 3000 W - Install New Gas Line
Address: 1194 N 3000 W
Permit Information
Detail Description Quantity Value
Installing a new outdoor fire pit.Please describe the work being done.
200.00What is the total cost of the plumbing system being installed? 200.00
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: 04/24/2019