HomeMy WebLinkAboutPA SUMMARY - 20-00350 - 91 K Street - Water lineApplication
Summary
Application Number: 20-00350
BLD-PLBGR - Residential Plumbing Misc.
Received Date: 05/20/2020 91 K Street - Water line
Address: 91 K Street
Property Information
91 K St KEPPNER ADDITIONRPRKEPN0000170
People Information
Applicant - Brad Archibald 843 N 5th W
archiplumb@hotmail.com Rexburg, ID 83440
Work: 208-390-4460
Owner - Brad Archibald 843 N 5th W
archiplumb@hotmail.com Rexburg, ID 83440
Work: 208-390-4460
Contractor Information
Plumbing Contractor - Archibald Plumbing PLBC-11486 (09/30/2021)
archiplumb@hotmail.com 843 North 5th West
Rexburg, ID 83440Home: (208)390-4460Work: (208)356-4460
Page 1 of 2Print Date: 05/20/2020
Application
Summary
Application Number: 20-00350
BLD-PLBGR - Residential Plumbing Misc.
Received Date: 05/20/2020 91 K Street - Water line
Address: 91 K Street
Application Information
Detail Description Quantity Value
water linePlease describe the work being done.
Additional Inspections Required
0.00How many gas lines are being installed or repaired? None = 0
($65 + $10 per ea)
0.00
0.00How many water heaters are being
installed/altered/replaced? None = 0 ($65 + $10 per ea)
0.00
1.00How many water lines are being installed? None = 0 ($65 +
$10 per ea)
1.00
0.00How many sewer lines are being installed? None = 0 ($65 +
$10 per ea)
0.00
0.00How many water conditioning equipment units are being
installed? None = 0 ($65 + $10 per ea))
0.00
0.00How many lawn sprinkler backflow devices are being installed
or repaired? None = 0 ($65 + $10 per ea)
0.00
0.00How many gray water systems are being installed or
repaired? None = 0 ($65 + $10 per ea)
0.00
0.00Number of hydronic heating zones being installed or
repaired? ($65 + ($10 * #of zones))
0.00
0.00Please enter a number of other plumbing work not listed
above. None = 0 ($65 + $10 per ea)
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 - Misc. $65 base + $10 per ea (BLDPLWRK2)
$65.00
Payment Information
Payment AmountTender Type Reference InfoPayment Date
05/17/2020 Credit Card 79714516 $65.00
$65.00
Page 2 of 2Print Date: 05/20/2020