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Home My WebLink AboutPA SUMMARY - 20-00564 - 212 W 3rd N - Water LineApplication Summary Application Number: 20-00564 BLD-PLBGR - Residential Plumbing Misc. Received Date: 07/14/2020 Water line replacement - 212 W 3rd N Address: 212 W 3rd N Property Information 212 W 3rd N REXBURG ORIGINAL TOWNSITERPRRXB10074600 People Information Applicant - Dale Johnson 3968 E Sunnyside Rd Unit 1 holeshotplumbing@gmail.com Ammon, ID 83406 Mobile: 2083171001 Owner - Clyde Stucki 212 W 3rd N Rexburg, ID 83340 Contractor Information Plumbing Contractor - Holeshot PLB-C-11517 (11/30/2021) holeshotplumbing@yahoo.com 3968 E Sunnyside Rd #1 Idaho Falls, ID 83406Work: 208-535-1300 Page 1 of 2Print Date: 07/14/2020 Application Summary Application Number: 20-00564 BLD-PLBGR - Residential Plumbing Misc. Received Date: 07/14/2020 Water line replacement - 212 W 3rd N Address: 212 W 3rd N Application Information Detail Description Quantity Value Water line replacementPlease describe the work being done. Additional Inspections Required How many gas lines are being installed or repaired? None = 0 ($65 + $10 per ea) 0.00 How 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 How many sewer lines are being installed? None = 0 ($65 + $10 per ea) 0.00 How many water conditioning equipment units are being installed? None = 0 ($65 + $10 per ea)) 0.00 How many lawn sprinkler backflow devices are being installed or repaired? None = 0 ($65 + $10 per ea) 0.00 How many gray water systems are being installed or repaired? None = 0 ($65 + $10 per ea) 0.00 Number of hydronic heating zones being installed or repaired? ($65 + ($10 * #of zones)) 0.00 Please enter a number of other plumbing work not listed above. None = 0 ($65 + $10 per ea) 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 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 Page 2 of 2Print Date: 07/14/2020