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HomeMy WebLinkAboutPA SUMMARY - 19-00647 - 408 W Main - Gas lineApplication Summary Application Number: 19-00647 BLD-PLBGR - Other Plumbing Only Received Date: 10/17/2019 408 W Main - Gas line Address: 408 W Main Property Information 408 W Main St REXBURG ORIGINAL TOWNSITERPR0000028004A People Information Applicant - Centennial Plumbing PO Box 486 jfyfe.centennialplumbing@hotmail.com Rexburg, ID 83440 Home: 317-8702 Owner - Homestead 408 W Main St Rexburg, ID 83440 Contractor Information Plumbing Contractor - Centennial Plumbing, LLC PLB-C-12504 (08/31/2021) jfyfe.centennialplumbing@hotmail.com PO Box 486 Rexburg, ID 83440Home: (208)656-0744Work: (208)317-8702 Mobile: (208)317-8702 Page 1 of 2Print Date: 10/18/2019 Application Summary Application Number: 19-00647 BLD-PLBGR - Other Plumbing Only Received Date: 10/17/2019 408 W Main - Gas line Address: 408 W Main Application Information Detail Description Quantity Value gas linePlease describe the work being done. Additional Inspections Required 0.00Total cost of work 0.00 1.00Are any gas lines being installed or repaired? No = 0 Yes = 1 ($65) 1.00 0.00Are any water heaters being installed? No = 0 Yes = 1 ($65) 0.00 0.00Are any water lines being installed? No = 0 Yes = 1 ($65) 0.00 0.00Are any sewer lines being installed? No = 0 Yes = 1 ($65) 0.00 0.00Is water conditioning equipment being installed? No = 0 Yes = 1 ($65) 0.00 0.00Are any lawn sprinkler backflow devices being installed or repaired? No = 0 Yes = 1 ($65) 0.00 0.00Are any gray water systems being installed or repaired? No = 0 Yes = 1 ($130) 0.00 0.00Number of hydronic heating zones being installed or repaired? ($65 + ($10 * #of zones)) 0.00 0.00Plumbing Only Miscellaneous/Requested Inspection No = 0 Yes = 1 ($65) 0.00 NBy 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 - Per Service (BLDPLWRK) $65.00 Payment Information Payment AmountTender Type Reference InfoPayment Date 10/13/2019 Credit Card 68696733 $65.00 $65.00 Page 2 of 2Print Date: 10/18/2019