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Lily of Rexburg
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19 E, Main St. l Rexburg,
ID. 83440 -
"hone (208) 359-3020 J fax (206) 359-3024
Applicatio#: os 00550
PERMIT APPLICATION INVOICE
Invoice Date 11/10/20,08
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Applicant: FIRES E BY DESIGN
REXBURG, 183440
Site Address: 2674 S 2000 V1,1 ' 5)v -un
Th following fee amountsforthis permit appi lati n are unpaid this
Fee
Description
Mechanical Fee Based Calmat«
n based n Mf2832212 $170.00
REXBURG, ID 83440
Tran
Code Fee
Am u nt
Total:
$170.00
Page 1 of 1
Date./Time: Nov.10. 2008
M e rn a r y
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Site Add rens: 2674 DO YJ - D V5Cq:4
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JU.XBLTRG City of ReAjurg
. ..... Departm ant of Cofn M unity Do ve lopm e nt
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19 EMain St. / Rexburg, ID. 83440
Phone (208) 359-3020 / Fax (208) 359-3024
PERMIT APPLICATION INVOICE
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Invoice Date 11/17/2008
I
I Applicant: FIREPLACE BY DESIGN
REXBURG, ID 8,3440
Site Address: 2674 S 2000 W
REXBURG, ID
The follow ire g fee am ounts for this perm itaPplication are unpaid at this tim e:
83440
ti NOV 1 7 200
CITY OF REXBURG
Total:
Page I of 1
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NOV,17. 2008 11:51AM
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HOUSE PUMPS INC.
40 WEST MAW 4,
ST ANTHONY, ID 83"5
MWE: (208) 67-1-3777
F:(8) 624-4
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1UNBURG
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City of Rexburg
Npartment Of COmmunity Development Receipt a er:
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 i Fax (208) 359-3024
X690
Payer�payee
Name:
FIREPLACE
BY
DESIGN
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RPO 5 N3 9 EO1Rf Mechanical Fee Based Calulation ba $170.00 $170.00 $0.0 0 --"
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$170.00
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