HomeMy WebLinkAboutRECEIPT - 07-00625 - 7613 S 1800 W - Fireplace` INt.'k,
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REXBUR
AMU mds A3
City of Rexburg
Department of Community Development
19 E Main St.1 Rexburg, ID. 8344
Phone (20$) 359-302{} 1 Fax (208) 359-3024
Re ce I"Pt Date: 12/27/2007
Cashier: JANELLH
Receipt Number
Payer/Payee Nam e l, LBSURETIMEINC
PermitOriginal Fee Amount
TI. Parte rI tion
Am u nt Paid Balance
0700625 RPOARCH022 Mechanical Residential Fixtures
$100.00
$0.00
Total: $100-00
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Previous PaY
Mry ent Histo
e L!R!e c#fit Receipt Date Fee Description
Amount Paid e r m
Paym
Check
M ethode
_Nurn ber Paymt
Am ou n
CHECK 28249 _
$100.00
Total $100.00
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Page 1 of 1
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f�E,Y�,BJJRG it of Rexbur-9
Department Of Community Nvelic)pment
Amrriw� Faori�y C6mmunity M III!
19 E Main St. / Rexburg, ID, 83440
Phone (208) 359-3020 / Fax (208) 359-3024
PERMIT APPLICATION INVOICE
�h!�_- ------ invoice Datej
Application #: 07 00625 Permit Type: Madison County Mechanical Resi
Project: jal Pernt typ(
7613 S 1800 W -Clark
Applicant: LEJ:SURET[MF INC
2200 N WOODRUFF
IDAHO FALLS, ID 83401
Site Address: 7615 S 1800 W
Madison, ID
The following fee amounts for this permit application are unpaid at this time:
Fee
ar Description
Mechanical Residential Fixtures
Sa3 10
Tran Fe e
Code Am ount
2832212
$100.00
Total: $100-00
Rage 1 of I
Date/Time: Dec,17, ��07
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Wdiison. ID
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