HomeMy WebLinkAboutRECEIPTS - 06-00052 - 858 S 5000 W - FireplaceX 14 9.
. . . .
REXBURG P
J'&o L . ..... City of Rexburg
Department of Community Development Receipt Number. 06- 0076 . .......
19 E. Main St, / Rexburg, ID. 83440
Ptore (208) 359-3020 / Fax (208) 359-3022
Re ce ipt Date: 02/03/2006 Cashier:JANE.LH Payer/Payee Name: CUSTOM DESIGN FIREPLACE
I I Permit
0600052
Recti ipt #
Fee Description
Mechanical Residential Fixtures
.................. . .......
Previous Payment History
Re ce i pt Date
Fee Description
.............................
Paym ent Check
Payment
Method Number Amount
CHECK 3658 $100-00
Total
genprntrreceipts
$100.00
Original Fee
Amount
$100.00
Total:
Amount Paid
Amount
Paid
$100.00
$100.00
Permit #
Fe
[;'n'. Fra
No. 485
IDAHO BUSPNESS FO -:3)W-632-1458 RECPD By
157774
$0.00
Vt-x-0Z
ON
A.
a"
CITY f
REX-B.URG
A merina� Family Comm F j't
Application ##: 06 00052
t
858 S 5000 W-Wd. Co. Wchanical
- - - - ---------
rno
City of Rexburg
Depar#meat of Com rnunity Dewelapment
19 E. Main St. l Rexburg, ID. 8344
Phone (2Q8) 959-3020 f Fax (20$) 359-322
PERMIT APPLICATION INVOICE
r m it Type
Applicant: CUSTOM DESIGN FIREPLACE
859 S YELLOWSTONE NO 901
Invoice DateOl/3012006
Madison County Mechanical Residential Permit type
Site Address: 858 S 5000 W
Madison., i
The follow in g fee amounts for this permit pli n are unpaid at this time:
Fee
Description
Mechanical Residential Fixtures
CUSTOM DESIGN FIREPLACES
City of Rexburg
Date Type
1f30/2006 Bill
Key Bank
Reierenue
U6-D0fl52
Original Amt,
100.00
Fe e
Amount
$100.00
Tota[; $1U0
21112006
BA1arsce Clue Discount
100.00
Check Amount
+03658
Payment
100.00
100.00
100.00
Page I of 1
CITY OF
� � s
NVIERICA.'S FAMILY COMMUNITY
City of Rexburg
P.O. Box 2,80
12 North Center Street
Rexburg, Idaho 83440
Phone: (208) 359-3020
FAX.- (208) 3159-3024
Message:
DATE:
TO: NAME:
FROM:
FAX TRANSMITTAL FORM
coWnrrY:
a ��,�('�i i �1 i�l
0
FAX NUMBER.
PHONENUMBER:
NAMIE: JAN -ELL HANSEN
PHOS NUMBER: x-326
di
ee7
PAGE OF
flease forward this fax transmittal to the above named individual.
DaL",e/Time:
D
* * x Me, -maty TX Result
Jan,30, 2006 3:07PM
Report ( Jan, 30.
20Uo
3 1 4DM )
Nc - M o d e Destination
u1t Nit Se n
— — — — — — — — — — — — — — — — — — — — — — — ---- — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — --- — — — — — — — — — — — — — — — — — — —
5 M e m, o T X
3'63953 P. 2 OK
--___---______--_____---_____________`-______----____----__--- _---_
Reasonfor error
E. 1 Ha.nj=--, up rF 1"i n v fa i I E, ) Busy
E. No xnsw e rP E ) No fBLcs i m e connect i on
E Exceed -ed ro- x E—mai!
CfCY OF
PLFX15URG
W52rtICAs rAMPLY cOMMUNM
VATSaa�
FAX TRAAfSh4iTTA! FORM
city oft TO: Nom:
P.O. Bux 2SO
r
12 Nor& Center Stmd i 3
- Radnu-& liaho
Phone: O $) 355-3020 FAX FAX. (208).3359-3024
Mom:
XAMR JANMLHAXSEN
PHONE MMEML Y, 326
Mecwgi
1�vo�c��r �clSlrr,�n �r��vrr�,
pleaw forma tWs fax f0 the;ibovcuaL