HomeMy WebLinkAboutAPPLICATION - 09-00007 - Sutton - 392 E 7000 S - Mechanicalfie -ase complete the Ptd d-I—e . ppficatl:OD! If -the yues:tion does D,DtApply hfl in tNA for noon
pplicable
NAME
PROPERTY ADDRESS
SUBDIVISION
MECHANICAL
Permit#
Mechanical Contractor's Name: ^ �� r� Business Name: 14,a 44 W V14
Address t City -C4,-L, _State -_ Zip 13 40
Contact Phone: >,13 Business Phone: ZZ -17-0(-170
Email uJti ,f(>./. a-,vtdc:G-ac•+mss+-t ..G Fax Zug'-SqL-d fc7�7
Mechanical Estimate $ '/, 0 ; L, (Commercial/Multi Fancily Only)
FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only)
I Furnace } Exhaust or Vent Ducts
Furnace/Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
I Decorative gas-fired appliance
Incinerator System
Boiler
Pool Heater
i Dryer Vents
i Range Hood Vents
Cook Stove Vents
3 Bath Fan Vents
Similar fixtures or Appliances
1PV Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
other similar vents & ducts:
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
Wye "G- 13 -1
s
signatui-e of Licensed Contractor License number Date
IThe City of Rexburg's permit fee schedule is the same as required by the State of Idaho