HomeMy WebLinkAboutAPPLICATION - 10-00050 - 2338 South Fork Circle - County MechanicalBuilding Safety Department
City of Rexburg
35 N l,r E Phone: 208.372.2326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
NAME 5v1, tl WOE'
PROPERTY ADDRESS
SUBDIVISION
PHASE
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LOT BLOCK
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C I I' 1' O F
R.EEXBURG
America' Fanib, Communiti
Permit# /(J O G 0 SO
Required.6. MECHANICAL
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Mechanical Contractor's Name /�>/G' e Business Name iG<1 bz� v``'ii 7 �' j/v •
Address //' 1:j3C;,K Z City "r 6d- State r Zip z_
Cell Phone ( ) PQ q'— i`?,M Business Phone ( ) _1 �' ✓
Fax ( )Y Email
Mechanical Estimate $ (Commercial/Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling On])
Furnace Exhaust or Vent Ducts (water heater)
Furnace/Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas-fired appliance
NIncinerator System
Boiler
Pool Heater
Dryer Vents
/ Range Hood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
`3 Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply)` asf) Oil Coal Fireplace Electric Hydronic
Signature of 'censed Contractor
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License number Date
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