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RECEIPTS - 07-00125 - Rexburg Medical Center - Addition
C I TY 0 F REXBURG City of Rexburg Department of Community Development 19 E Malin 5t. I Rexburg, ID. 83440 Phone (208) 359-3020 1 Fax (208) 359-3024 PERMIT APPLICATION INVOICE Invoice Datell/20/2008 Applicant: ASSOCIATES JRW 1152 BOND AVE Four, ID 83440 Site Address: 393 E 2ND Rexburg, ICS The follow in g fey amounts forth is permit app I ication are unpaid atthis time: Base Fire dee 2832215 0.00 Building Permit Fee Commercial Plumbing Permit Fee EJ tri al Fee Based Calulation based on EJect Fire [rte pact Hookup Fee/Sewer Hookup Fee[Wt r Mechanical Fee Based Calulation based on M( Flan Check Fee Police Impact Fee Street Impact Fee 283221 1 $0.00 2832214 $0.00 2832212 $0.00 2035500 $0.00 3534730 $ 1,473.00 3434630 $ 2,403.40 2832212 $0.00 7832220 $0.00 0735500 $0.00 3335500 $0.00 I Total: Inge 1 of I i! L I 1 W i 4 �r v RMURG 77 y ,? .V City of Rexburg Department of Community f]evelapmertt Receipt Number: 07-0606 19 E. Main St. l Rexburg, ID. $344(} Phone (208) 359-3020 /Fax {208} 359-3024 Receipt Date: 10105/2007 Permit 0700125 0700125 0700125 0700125 0700125 00125 €0125 0700-4125 0700125 Cashier: JANE L H PayerlPayee Name: JRVIf & ASSOCIATES PLLC Original Fee Am Dura Parcel F Description Am ount1d RPRXBCA02C Plan Check Fee RPRXBCC Building Permit Fee RPRxBcaa2c RPRXBCA02C RF'RXBCA02C RPRCBCA02L RPR?CBCA02C RR�B%f,`FA02C RPRXBGA02C Receipt # Receipt Date F Payor a rpt Method CHECK +gin prrrpt Commercial Plumbing Permit F Fire Impact Police Impact Fee Mechanical Fee Based Calulation h Bectrical Fee Based Calulation bas Street lm pact Fee Base Fire Fee Previous Payment History Fee Description 0312612007 Building Permit Fee Check Number 4S'12 Tota Paym e n Am oun $ 271569.42 $279569.42 $839-01 $8,390.05 $3,1355.00 $384.13 $8$3.73 $3P375.00 $955.00 $%030.00 $457.50 Total: Amount Paid OCT0, R 0 .5. 2007 $839.{11 $8;290,05 $37355.00 $384.13 $8r83.73 $3,375.00 $955.40 $%030.00 $457,50 $2756.9.42 Perm it 0700125 Fe e Balance Page 1 of 1 4� CITY 0 F REXBU-G_ -_-_ Americas fiawdv Comunfiy roo ig City of Rexburg Department of Community Development 19 E. Main St.1 Rexburg, ID, 83440 Phone (2Q8) 359-3D201 Fax (208) 359-3024 Project: PERMIT APPLICATION INVOICE Permit Type: Rexburg Medical Center Addition Applicant: J W &ASSOCIATES 1152 HD AVE Rexburg: ID 83440 I nvo i ce Date: 12/10/2010 Commercial dditi n Site Address: 393 F 2ND I The following fee amounts for this permit application are unpaid at this time: Rexburg, ID Fee Trani Fee Description Code Amount Base Fire Fey _ 2832215 Building Permit Fee 2832211 $0.00 Commercial Plumbing Perrin it Fee 2832214 Electrical Fee Based Calulation based on Electric 2832212 $0.00 Fire Impact 2035500 $0.00 Hookup F/ r 353730 $0.00 Hookup FTWtr 3434630 $69848.00 Mechanical Fee Based Calulation based on i l l- 2832212 Plan Check Fee 2832220 $0.00 P01jGe Impact Fee 0735500 $0.00 Street Impact Fee 3335500 $0.00 Water Meter & Parts 253462 $0.00 Total: $6,848.00 Page 1 of I 0 CITY 0 F ;. 0 -teeCity of Rexburg a alrr,; �rnai��i'ti+llrlr} Department of Comrnunity Development Receipt Number: 10-0599 19, E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 / Fax (208) 359-3024 Receipt date: 121101201 Cashier: AMANDAS Payer/Payee Name: Rexburg Medical t r Permit # 0700125 receipt Original Fee Amount Fee Parcel Fee Description Amount Paid Balance P F X E ( Hookup F [' t r $3.9876-00 $33876.00 $0.00 Tota l $3,876.00 Previous Payment History Receipt Date Fee Description ,07-0606 606 101051 07 Base Eire Fee 07-0158 03/26/2007 Building Permit Fee 7-0606 1010512007 Building Permit Fee -0606 10/05/2007 Commercial Plumbing Permit Fee 07-0606 10/0512007 Electrical Fee Based Cal ul ti n based on Elec 07-0606 10105/2007 Fire Impact 7-0606 1010512007 Mechanical Fee Based Calulation based on Mi 7-0606 10/05/2007 Pian Check Fee -0606 10/05/2007 Police Impact Fee -060 10/0512007 Street Impact Fee Check Payment, Payment Method Number Amunt CHECK 6802 876.00 Total: $39876.00 i Amount P id Permit $457.50 0700125 $100-00 0700125 $89290.05 0700125 $39355.00 0700125 $955.00 07 00125 $384.13 0100125 $35375.00 0700125 $839.01 0700125 $883.73 0700125 $99030.00 0700125 genpmtrreceipts P LM RE-XzBURG it of Rexburg Department Of Com mu-h.-,1ArY Development 19 E Main St. / Rexburg, ID. 83440 Phone (208) 359-34241 Fax (208) 359-3022 Receipt Date: 03126/2007 Cashier: JANELLH I Receipt Number.- 07-0158 . .... ........ .......... . ............. Paye r Name: JRW & ASSOCIATE .S PLLC . . ... ... am V. ... .... ... ... ......... ........... ............... - - - - - - - ......... -------------- . ........ . ........ Perm it # Parcel Fee Description Original Fee Am ount Fee Amount Paid Balam;e 0700125 RPRXBCA02C Building Permit Fee $8,390.05 $100.00 $892,90-05 Total. $100.00 . . ................ . . .... . - .... . ...... Previous Payment History Re ce,ipt Receipt Date Fee Description Payor e nt Check Paym e ni I Method Num be r Am ount CHECK 12298 $100.00 Total Amount Paid =0 . f 4'- genprrtrreceipts. Page 1 c)f I RJEX JR(1; City of Rexbu BT --- ----- Department o . m r n unity Deve l p m e n t 19 E Main St. / Rexburg, 1D. 83440 done (208) 359-3020 / Fax (208) 359-3024 PERMIT APPLICATION INVOICE Application #: 07 00125 Permit Type: Project: Rexburg Medical CeLnter Addition Applicant: JRW &ASSOCIATES I L.L 1152 BOND AVE REcguaG, ID 83440 Commercial Addftivn !novice Date J p10112Q07 Site Add r : 393 E 2ND Rex burg, ID The following fee amounts for this permit application are unpaid at this time: Base Fire Fee Build in Perm it Fee Commercial Plumbing Permit F Electrical Fee Based Calulation based on Elect Fire Impact Mechanical Fee Based Calulation based an 11AF Plan Check dee Police Impact Fee Street Impact Fee 2832215 2832299 2832214 2$3212 2035500 28322'[2 283222 0735500 3335500 Fee Am Dunt $457.50 $384.13 $39375.00 $839.01 $8-83.73 $99030.00 Total: 27,569.4: Page 1oft * * * Memory Date/Time: Oct. 1. 2601 4:20PM � P. 1 TX Result Report :; Uc1. 1. 2007 4:2 1 PM) File Page No. Mods Destl'nation Pg (s) Result Not Sent ----------------—————--——————————————————————————————————————--—————--————-------------------------- 5QQ6 Memory TX ;592271 E 2 OK ---------------------------------------------------------------------------------------------------- e. on f r e Y ro r E. Hang Ljp 1 i n fa, E. ) BUSY E. No an s PrP_ r E. 4) No f a c s ii m i 1 e connect i o n E.5 Exceeded max. E—mail size REXBUR Fox To We FCW 35? -2271 Phone: i Frwn JaNell Hansen Pone Da1w. October 1, 207 ® Urgent Q For Review .i please C3 pa .rye RepV I] pqwase Recyao Comrna rft r, VO fm ftaxburg Medco' meter Add ricri. Thank You, JoNal Finsen dr �M-L IL I T Y 0 F R E. XBB TJ RG Application : 07 00125 Project: City of Rexbui p rtm n of x.,unity Development 19 E Marn St. / Rexburg, ID. 83440 Phone (208) 359-30201 Fax (208) 359-3024 PERMIT APPLICATION INVOICE Invoice Date -10/09/2007 Permit T - . .. .. a ...:.' Corm rc Of Ad d ition G�enter Aldi #ian-Faundation Only Applicant: JW &ASSOCIATES ILL 1152 BOND AVE REXBURG, ID 83440 Site Address: 393 E Rexburg, IIS The following fee am ounts for this p' rm it application are unpaid t this ti m Base Fire Fee Building Permit Fee Com m e ril Plum bing Pe rm it Fee Electrical Fee Based Calulation based on Bect Fire Impact Hookup Fee/Sewer Hookup FeelWater Mechanical Fee Based Calulation based on ME Plan Check Fee Police Impact Fee Street Impact Fee Tran Code Am ount 2832215 $0.00 2832211 $0.00 283224 $0.00 2832212 $0.00 2035500 $0.00 353430 $11473.00 3434630 $ 2,403.00 2832212 $0.00 2832220 $0.00 0735500 $0.00 3335500 $0.00 Total: $ 3,876.00 Page 1 of 1 Memory Date/Time; Oct. 9. 2��01 8 1 ,58AM 1 TX Result Report 0 r, t I j 3 200 irk AllAM ) ,r FI ale � p Mo I n � V basution ------------------------ ------------------------------------------- ------ ---------------------- TX 3j' L27 P. 2 ( D K — — — — — — — — — — — — — --- — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — -- — — — — — ----- — — — — — — — — — — — — — — — — — — — — son for er-rror E. I fang up or din e fair E. ) B E, No answer E. 4) No f a c s I m I e cor- nec t i cin E. ) E ce ded max, E —rr. s i z Fax Z" R� T4X Nde Fwff, I ..oN ll Harlsen F W9.2271 ESM e-4� ' CY tobo6-5, 2M7 C Q Urseni ❑ For Review C Pkisse Ca nt [I plemjy r] Pq Fe 0 cori11" e Attar are the v tu, and -eyrer conn-cfion fees br the R -i. Center. A41 John War a rc f -,^ Cacded V, em at the Urn.-, p a d fly fes. Th=k You, JaelI Hansen KY RE)(BURG- W� ��nCw _ - .. 00 City of Rexburg Department of Community .tee Iopm ent 19 E Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 / Fax (208)359-3024 Receipt Nurnb r: 07-0606 Receipt Date: 10105/2007 Cashier: JANELLH Paye r/Paye e Na m e: J RW & ASSOC IAT ES P L L C Permit # Parcel 0700125 RRRX6CA02C 0700125 RPRXBCA02+L 0700125 RPRXBCA02C 0700125 RPRXBCA02C 0700125 RPR7CBCA02C 0700125 RPRXBGA02C 0700125 RPRXBCA02C 0700125 RPRXBCA(!ZC 0700125 RPRXgCA02C Fie Description Plan Check Fee Building Permit Fee Com m a r iai P"Iu ren Ding Pe rm it Fee Fire Impact Police Impact Fe e Mechanical Fee 13ased Calulation b FJ tri l Fee Based Calulation base Street Impact Fee Base Fire Fie Previous Payment History Receipt # Receipt Date Fee Description 07=01 58 Payment Method CHECK 03126120fl1 Building Permit Fee Check Paymen Number Am vun 4512 $ 27,569-42 $27,569.42 Original Fee Am oun# Fey Amount Paid Balance Total: Amount Raid $839.01 $89290.05 $3)355.00 $384.13 $883.73 $31375.00 $955.00 $%030.00 $457.50 $2i,569.42 Perm it # 00125 u 'c r 1 2 Memory 2058PM TX R=su'lt Report (Oct. I , 2001 2;59PM ) File D �p 1 1 4 P a, g e S Pg i�R su1t � -------------------- ---------- ----------------------------------------------------- Memory TX 7 r W R.evason for error E. 1 Hang up o r I i n fa i a Eu E. No answer E. 4j L o f acs m i le connect ion E. Exceeded me. . E—mail sj c� CITY USF RMURG Fax 3 T.W. Reed Thurg CJ f 72 Front JaNall Honie 1 Pag Em D Ler 1, cam, E] went E2 Sar ke4env ID pig ComnwrA 7 p �y © pjamm Rycjm v CornumntE Ply oW the r n h 1 mit tcw jh e I upq NiOdICX31 s ' Addiffon. Thank You, JoNell How I It I ;.�r J Date/Time: Oct. S. 210,:9AM File No. M o d e 5072, Memory IX TX Result S t i n i,, L I 0 1 Rock"! Mtn r Reason or arrow E. ) Han g u p o ra i i n e f a i 1 E 3 ' No a n swA- r~ Ea Exceeded ma , E—mail size R euort t opt. a. 20�, 1010812807 05:34 203450d36300e222 O4, Pg (s) 0 : 2 0 ',Wi R e s u I t P. 1 OK E. ) Busy E. N Tacs i rn i� e conn c i o n LONRICKS EL:t-CTRIC, I h j j j� PIS 01 No. V � I e p -- P■9 --I�# Mier *� mfflamg 3an" Depa ont Cw of nab" k Q F T l UP AEXBM�G- Ampfin ! p Pteibuirg jl Cwter Additim LVL ECTRICAL YIL 7•TI .r QDD e r,=CAS ---- EkCwCp IAN dutaft (Cmt *' g VM aFZVSrALLA ' LIP to ZW =p Semce 2191 to400=p t st ti Y _ M ■I j4 ti.- Fee rmi' F.�.e e — tll M eri a 6 "I Hot - # wglee--G�e s F i" OWR 1& JI■ i; MM a ■■r 11 #L t -r. CODER # E41F t - PUT ' 2(8 04W - wmid a.T tiY L e� !k • Y 9 J i .. II � i i y a. t Y� � � f � �- J W=9 e n 9 h ■ C-4w.Of ..r4,J eI.Qbw Y L ! J p CITY OF ■ e.e# #.m.. c6qcdat d um of iF i 1 H * ; y -how. —ZEIL rC=.Z—g - /o/ glo 1 ii Rata, pqm S'F m' .■'tib f Say �.s ..1 00e r r Ng e N 0 t Swe e Y. Date/Time: Oct, 2 2 0 0 7 ilm M em��ry IX Result Report i Oc t. 2. 2001 $:25AM 8:26AM) P. 1 File P a g e No. Modeyes r1 ��011 P � eS. It � In t n t, ...e - - - - - ..tee - - ..r - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — 5009 Memory TX 12 0 2 4 5 8 4 111 6 1 P 1 2 OK - - - - - - - - - - - - - - - - a - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -r - - - - - as - - - - - - Reason for error E. 1 Haag yap or 1 i n fa i I E. ) Esu s E. ) No a�n we r E. 4) No fats 1 i 1 e connect i on E. Exceeded max. E—ma i t s i z Fax 1 TCX Lw Irks Phone:Rw , C#TT QP Firx.30. 02 4 CW From; IJaNO Hansen P Dale:Octobef 1 f 2XV ❑ U[Surf ❑ FarReWow [1PIM&nt OPlease Rupfy C7 Pja Ft .ycjQ Please f'U Out ihe eleddcd nWt fOr the Rexburg Medicd Center Additk. RiLInk YCU, Ja�?fl Hansen