HomeMy WebLinkAboutPA SUMMARY - 19-00591 - 3055 W 1000 N - Gas line form house to shopApplication
Summary
Application Number: 19-00591
BLD-MECHR - Other Mechanical Only
Received Date: 09/30/2019 3055 W 1000 N - Gas line form house to shop
Address: 3055 W 1000 N
Property Information
3055 West 1000 North
People Information
Applicant - Bryan Hampton 3055 West 1000 North
hampton_bryan@hotmail.com Rexburg, Id 83440
Mobile: 2088217609
Owner - Rodger Hampton 3055 West 1000 North
hamptonr@msd321.com Rexburg, Id 83440
Mobile: 2083516265
Application Information
Detail Description Quantity Value
Additional Inspections Required
inspection and pressure test of gas line
from house to shop
Please describe the work being done
450.00Total cost of work 450.00
Number of Furnaces being installed? ($65 per furnace) 0.00
Number of Air Conditioning units being installed? ($65 for 1st
+ $10/additional HVAC equipment)
0.00
1.00Are any gas lines being installed/replaced? No = 0 Yes = 1
($65 for 1st + $10/additional HVAC equipment)
1.00
Number of water heaters being installed/replaced ($65 for
1st + $10/additional HVAC equipment)
0.00
Number of free-standing fireplaces being installed? ($65 for
1st + $10/additional HVAC equipment)
0.00
Number of built-in fireplaces being installed? ($65 for 1st +
$10/additional HVAC equipment)
0.00
Are you installing in-floor heating zones? (hydronic heating)
No = 0 Yes = 1 ($65 for 1st + $10/additional HVAC
equipment)
0.00
Number of other additional HVAC equipment not listed above
($65 for 1st + $10/additional HVAC equipment)
0.00
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
Page 1 of 2Print Date: 09/30/2019
Application
Summary
Application Number: 19-00591
BLD-MECHR - Other Mechanical Only
Received Date: 09/30/2019 3055 W 1000 N - Gas line form house to shop
Address: 3055 W 1000 N
Fee Information
Fee Code & Description Amount
$65.00Mechanical - Non-Res or General by Cost (BLDMENR@)
$0.00Mechanical - Per Service (BLDMEWRK)
$0.00Mechanical - Misc. $65 base + $10 per ea (BLDMEWRK2)
$65.00
Payment Information
Payment AmountTender Type Reference InfoPayment Date
09/29/2019 Credit Card $65.00
$65.00
Page 2 of 2Print Date: 09/30/2019