HomeMy WebLinkAboutRECEIPTS - 06-00154 - Promark Research/Call Center - RemodelCT T V 0 T-
R'P.NJRT TRC
City of Rexburg
De partm ant of Com m unity Deve lopm ant
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-30201 Fax (208) 359-3022
. FM
Receipt Date: '03/27/2006 Cas h le r: JAN8. LH.
L
Receipt #
Payor e nt
M ethod
M
CHECK
ganprntrreceipts
Fee Description
Building Perm It Fee
Receipt Date
Check
Number
1670
Receipt Number:
06-0185
Payer/Payee Name: MOUNTAIN WEST E-ECTRIC
Previous Payment History
Fie De s criptio n
Payor n#I
Amou t
$ 100.00
Total $100.00 voel
Original Fee
Amount
$650-75
Total:
Amount
Paid
$100.00
$1 00.00
Fe
Ralanc
$550.75
Rage 1 of I
Y Y 0 r.
REXBURG
A "rm' &'I F11 fm UJP Coninaw07
1L+'. 'eN
IAI
jr
�Il�i `111 LI pull' ,.tll I II 1,11 I E' ,. pv
1
I i
II I 1:
111
I '1
L
1 1 �
' Ba. 4 I I• i
I.
1I Ii:
v�
1. I
S
P
1. Y1'• 1 1
II
I I p
I
6
City of
10e;)iiftrn ont of Corn m unity Dove to p.m a rpt
R
19 E rr
n St. I Rexburg, 0, 8344o
Phone (208) - 1 Fax (208) 359-3022
. .�
PERMIT APPLICATION INVOICE
11 5 ■
I' S •1
9I ��
I r
I�
u P'
I *,j
1 1• ' P 1`
IIII I� -III r
IIIII II J ��r#'4m�e I IrYfiP
Applicant: MOUNTAIN FEST ELS (
586 W HWY 26
BLACKFOOT, ICS 83221
No. 0574
P. 2
Invoice Date /o /
1•,IIiI�+�I�i.1�®r",
'• ,1114p 11911 1111 II IIS I
y II. iI. I u
1 I'Ii1` a I�• 1 1• �; IIII' •.
i 11' i 7•irJ .. ' + —aI• 'I 'II'
1.le''. I 4'... 1 I I- 1 11 e I .P t 1 1A II g1j,
IIII1,Le �II Iy 1{1LllDS
HI- � I ! P • II 9 P . I " II IIIII III III I b IIS P 'v1111 I'1 y 1'1 f 1
Site Address-. 7 FMAIT
'bora D
The fallow ing fe a am Duma for this pe rm it application are u n p ai a
1
I' 1 r r I I' P
I I _ 11
I��j� r
I 1 IP I I IL. I.I "':rN I 1 1� ^! 'I�I'I III 1� Y II,IY'I I I'I. �.""'ll I I I I .'�I'�I� piI II Em
N,I,�'I•4 , I I I 1a 1 1 ' I' II 'P v I. I. NwN II II11 1 "ITII III I 1 I yr.•.� IR' II 1 ' I II1))II1 Ie�1i5I•L•1lIr v II r`�1I`III11111 1
I -
III Iv I' I" ..11. t + ' "I .'S • 11 1I I 11
,� �•. I I 1+ ' I�', r •I � I , t' u'r.
'I o
'Y+. [
111
o
i
L' 1 ! I1 ••F.' b t• F X ` I. '.I1 I i 1I a r '9 •S' I•
, 1 I' L -1 I I J
I-
` k''.' ,.'aW li � 111 I I'J 'Y1 -I r' II.— I 1 �'� �
1 Y I
I ' I 1 a � 4+ l e . II.I a ii
• � 1 1 7r ' I , � r Yi . . , : I vI P P I X Y v . -1 �. ! • I ,�,
mi
�. 1.'�.; • � ° �°.. , 111
1 ..'! . ...
11 ,P li iln III 'II 11 I II . 1 r1 r1 11 I� Imo+ I1 P Pbt l'1 I 1 I' I ��■ �. . F P�, L ...a al I`.. I II{g1
I II ' . ' • 1 ' JJ .+ ' I 1'..14 1 1. , P r '11".1 � I' ' I ' 1 • 1� ' Ir f a { . � I 1 • .. '' yI I � ' Ii ,u. 111 'll P -�. 1r11 '{ � . . - � +J' 14�
ILr' •• a r I .}�7 11 I 111 1 1 " 1 1 I I 1. I I I t� . 'ry Ili � Ea. l 1 J• i 1 ^L ' r , 1 I r I p I lo.... 1
$ A �•' i I I � 1111 h I .. k. I I YI', I� I t� 1
I
�'� 'I .i � 7• f i i 3 1 1 I �' � el � �■ _� 11 I _ �Y •,III• .!
I ] I t 11 alYE1A+ S' i III I �. I Ir' I
I
I
.11 �
II 1r I r
. 1111
,I II �i' I . l I I -�,• La.Y.J I I I 1 II I r � 4, s ., I � _� .I1
1 ,
I
.1
1 .
' F• III � L III I I r . h r Ir
I 1
r1 B d I 1 Il i� 1 I 11 1 II1sl- I .III F.:1I,a 1 q}FIII 11 1 ail, I .'rte I
_ a I IJ�11 111111 ti I I I I �1�IIiI I J III II .1.' ,i1 1 ','dl ' � hhl ii ,' � I - :°, ,_t ' �•'�4 Laa�'�. �I,'��I1 ��t!'Y,Iylu IIII a.l'I II I II11
Building Permit Fee 01-322.11
Corn m a Dial Plum n Pe rm it Fe a 11,
32214
an i al Fe a Baud Calulation bas e 01-322,12
Total:
PAID
APR - 3 2006
CITY OF I
J.1 • F®X13(jmn
ftae 1 of 1
P M
Y Y 0 r.
REXBURG
A "rm' &'I F11 fm UJP Coninaw07
1L+'. 'eN
IAI
jr
�Il�i `111 LI pull' ,.tll I II 1,11 I E' ,. pv
1
I i
II I 1:
111
I '1
L
1 1 �
' Ba. 4 I I• i
I.
1I Ii:
v�
1. I
S
P
1. Y1'• 1 1
II
I I p
I
6
City of
10e;)iiftrn ont of Corn m unity Dove to p.m a rpt
R
19 E rr
n St. I Rexburg, 0, 8344o
Phone (208) - 1 Fax (208) 359-3022
. .�
PERMIT APPLICATION INVOICE
11 5 ■
I' S •1
9I ��
I r
I�
u P'
I *,j
1 1• ' P 1`
IIII I� -III r
IIIII II J ��r#'4m�e I IrYfiP
Applicant: MOUNTAIN FEST ELS (
586 W HWY 26
BLACKFOOT, ICS 83221
No. 0574
P. 2
Invoice Date /o /
1•,IIiI�+�I�i.1�®r",
'• ,1114p 11911 1111 II IIS I
y II. iI. I u
1 I'Ii1` a I�• 1 1• �; IIII' •.
i 11' i 7•irJ .. ' + —aI• 'I 'II'
1.le''. I 4'... 1 I I- 1 11 e I .P t 1 1A II g1j,
IIII1,Le �II Iy 1{1LllDS
HI- � I ! P • II 9 P . I " II IIIII III III I b IIS P 'v1111 I'1 y 1'1 f 1
Site Address-. 7 FMAIT
'bora D
The fallow ing fe a am Duma for this pe rm it application are u n p ai a
1
I' 1 r r I I' P
I I _ 11
I��j� r
I 1 IP I I IL. I.I "':rN I 1 1� ^! 'I�I'I III 1� Y II,IY'I I I'I. �.""'ll I I I I .'�I'�I� piI II Em
N,I,�'I•4 , I I I 1a 1 1 ' I' II 'P v I. I. NwN II II11 1 "ITII III I 1 I yr.•.� IR' II 1 ' I II1))II1 Ie�1i5I•L•1lIr v II r`�1I`III11111 1
I -
III Iv I' I" ..11. t + ' "I .'S • 11 1I I 11
,� �•. I I 1+ ' I�', r •I � I , t' u'r.
'I o
'Y+. [
111
o
i
L' 1 ! I1 ••F.' b t• F X ` I. '.I1 I i 1I a r '9 •S' I•
, 1 I' L -1 I I J
I-
` k''.' ,.'aW li � 111 I I'J 'Y1 -I r' II.— I 1 �'� �
1 Y I
I ' I 1 a � 4+ l e . II.I a ii
• � 1 1 7r ' I , � r Yi . . , : I vI P P I X Y v . -1 �. ! • I ,�,
mi
�. 1.'�.; • � ° �°.. , 111
1 ..'! . ...
11 ,P li iln III 'II 11 I II . 1 r1 r1 11 I� Imo+ I1 P Pbt l'1 I 1 I' I ��■ �. . F P�, L ...a al I`.. I II{g1
I II ' . ' • 1 ' JJ .+ ' I 1'..14 1 1. , P r '11".1 � I' ' I ' 1 • 1� ' Ir f a { . � I 1 • .. '' yI I � ' Ii ,u. 111 'll P -�. 1r11 '{ � . . - � +J' 14�
ILr' •• a r I .}�7 11 I 111 1 1 " 1 1 I I 1. I I I t� . 'ry Ili � Ea. l 1 J• i 1 ^L ' r , 1 I r I p I lo.... 1
$ A �•' i I I � 1111 h I .. k. I I YI', I� I t� 1
I
�'� 'I .i � 7• f i i 3 1 1 I �' � el � �■ _� 11 I _ �Y •,III• .!
I ] I t 11 alYE1A+ S' i III I �. I Ir' I
I
I
.11 �
II 1r I r
. 1111
,I II �i' I . l I I -�,• La.Y.J I I I 1 II I r � 4, s ., I � _� .I1
1 ,
I
.1
1 .
' F• III � L III I I r . h r Ir
I 1
r1 B d I 1 Il i� 1 I 11 1 II1sl- I .III F.:1I,a 1 q}FIII 11 1 ail, I .'rte I
_ a I IJ�11 111111 ti I I I I �1�IIiI I J III II .1.' ,i1 1 ','dl ' � hhl ii ,' � I - :°, ,_t ' �•'�4 Laa�'�. �I,'��I1 ��t!'Y,Iylu IIII a.l'I II I II11
Building Permit Fee 01-322.11
Corn m a Dial Plum n Pe rm it Fe a 11,
32214
an i al Fe a Baud Calulation bas e 01-322,12
Total:
PAID
APR - 3 2006
CITY OF I
J.1 • F®X13(jmn
ftae 1 of 1
CITY a P
REXBURG
Erlb
A rrEa� Fdo
City of Rexburg
Department of Community Development
19 E Main St.1 Rexburg, 1D. 83440
thane (208) 359-3020 !Fax (208) 359-3022
Receipt Number: 06-0698
Receipt Date. 10/12/2006 Cashier: JANELLH
Paye r,/Paye e Name: M OUNTAIN FEST ELECTRIC
Permit
4
I I Receipt #
Parce i
VU
1
Receipt --Date
-0185 03/27/2006
06,0238 04/18/2006
-0238 04/18/2006
-0238 04118/2006
-0238 04/1812006
Fee Description
Base Fire Fee
Previous tint History
Fee Description
Buildin.g Permit F
Building Permit Fee
Commercial Plumbing Permit Fee
Mechanical l=ee Based Calulation based on
Plea Check Fee
Paym e n t Check
Method Num r
L ................ ..... _ m o u
CHECK 1 749
Til
genprrtrreceipts
Original Fee Amount
Amount Paid
$250.00 $250.
Total. $250.00
Amount Paid Permit #
$100.00 06 00154
$550.75 06 01
$290.94 0600154
$290.00 0600154
5.ft 06 Q..154
a
C
Fuge I of I
10
3j
REXBURG
ow
City of Rexburg
Department Of Community Development
19 E. Matt] St. !Rexburg, ID. X3440
Phone (208) 359-3201 Fax (208) 359-3022
i
PERMIT APPLICATION INVOICE
Invoice Dafe0411412006
+�►PPiivatian #:06 Qv i54 Permit Type:—..i.�..- �.—.
j Project:
Promark Research Remdel
Applicant: l I 1T Ifs FEST ELECTRIC
586 W HVVY 26 #1
BLACKFOOT, IIS 83221
Site Add re E MA IN ST
Rexburg, ID
The follow ing fee am ou rets for thisa r itapplication
� runpaid at this fim
Fee
Description
Building Permit F
Com. m ercial Plum bing Pe rm it Fe e
Mechanical Fee Wised Calulation based on Me
Plan Check Fee
Tran
Code
01-322.11
01-322.14
1-322.1
,01-322.17
u:t
550.75
$290-94
$29-0.00
$65.08
Total: $1,196.77
Rage I Of
City
-I P - Ta
a . �'ITf d8d W19lr�sarr 1 t of Rexburg
De partm e nt Of Com rn u n 'Ity Deve l
19 E. Main St. 1 Rexburg, ID. 83440
Phone (20$) 359-3020 f Fax (208) 359-3022
FReceipt Date: 0312712006
Pe rm it
00154
Cashier:JANELLH
Fee Description
Building Permit Fee
LR�ceipt# Receipt
Payor ent
ethod
CHECK
Check
Number
106
Receipt umber, --0185
Payer/Payee Name: MpUNTAiN WEST ELECTRIC
Previous Payment History
Total
Fee f]escription
Payme n f
- Amvur�t
$100.00
Original Fe
Amount
$650.75
Total:
Amount Paid
Amount
Paid
$100.00
$100.00
Permit
Fe
Balanc
nprrreipt.
Plage I of I
I
!
'px1tv4t
IL I TV I)
RMUR,("'
Cw -- ----- City of Rexburg ,OD Apm.-rid,
-u De partm e nt of Com rn u n it[)eve lopm e rpt Receipt Number: 06- 0698
19 E. Main St. i' Rexburg, ID. 83440
Phone (208) 359-3020 / Fax (208) 359-3022
. ....... . .......
Lp�. rm it # Parce I Fee Description Original Fee Am ount Fee
Am ount
...... . . ..... Paid Balance
0600154 RPRRXB1 033 Base Fire Fee $250.00 $250.00 $0.00
Total: $250.00
Previous Payment History ....
Receipt # Re ce ipt Date
Fee Description
06-0185
03/27/2006
Building
Permit
Fee
06-0238
04/1812006
Building
Permit
Fee
06-0238 04/1812006 Commercial Plumbing Permit Fee
06-0238 04/18/2006 Mechanical Fee Based Calulation based on
06-0238 04/18/2006 Plan Check Fee
Paym e nt Check
Paym e n
Method Number
Am o uLin
CHECK 17491 $250.00
Total
genprntrreceipts
$250.00
Am o ut Paid Pe rM it #
$100-00 0600154
$550.75 0600154
$290.94 0600154
$290.00 06 00154
$65.08 06 001 RA
,w --r
Ra g e 1 of I
a: J 'T T oil
r ,3_REXBURG.City of Rexburg
r
a
r, I
Department f Community Development
19 E lain St. I Rexburg, ID. 83440
done 359-3020 Fax (208) 359-3022
Receipt Number: -0698
Re ce i pt Date 10/12/2006 Cas hie r: JANELLH Payer/Payee Name: MOUNTAIN WEST ELECT
RIC
p�
Farce I Fee Description
RRXE1 033 Base Fire Fee
Receipt t Date
0640238
-023
-0238
-0238
Payor a nt
Method
Previous Payment History
Fie Description
Original Fee
Amount
$25-0.00
Total:
Am cunt.
Paid
$250.00
Am o Paid
f Pard r i
03127/2006 E3uilding Permit Fee $100-00 0600154
04/18/2006 Building Permit Fee $550.75 0600154
04118/2006 Commercial Plumbing Permit Fey $290-94 0600154
04/18/2006 Meani al Fere Based Calulation based on $290.00 r%A
06
04/18/2006 Plan Check Fee $65.08 0600154
Chec[c
Paym e n�
Number Am oun#
� CHECK 17491�
$250.00
'
Total $250,00
gen prrrc ept
Fe e I '
Balance
$0.00
Rage 1 of I
REXBURG
coma"
r
Receipt Date:
Permit #
0600154
"1
w
CRY of Rexburg
De partm e rpt Of Co m m un ity De ve lopm e n
19 E Main St. / Rexburg, I. 83440
Phone (208) 359-3020 / Fax (208) 359-3022
Receipt Number- 06-0698
10112/2006 Cashier.- JANELLH Paye r/Paye e Nam e: MOUNTAIN WEST ELECTRIC
Parcel Fee Description Original Fee Amount
Amount Paid
RPRRXB1 033 Base Fire Fee $250.00 $250 .00
Total.- $250§00
Previo us Payment History
Receipt # Receipt Date Fee Description
06-0185
06-0238
06-023.8
06-0238
06-0238
03/27/2006 Building Permit Fee
04/18/200,6 Building Permit Fee
04118/2006 Commercial Plumbing Permit Fee
04118/2006 Mechanical Fee Wised Calulation based on
04/18/2006 Plan Check Fee
Total $250.00
gewmtrreceipts
Amount Paild
$290-94
$290.00
$65.0,8
.—... Fee
Balance
0600154
0600154
page I of 1
$t1.04
I
wEN S
b tr
CITY 04
G City of Re xbu rg
Ow. - --�n Department OfCommunity Development
An wHca k Fa in -V rn j u r;
AP P I i1cat io n #: 06 X01
19 E Main St, / Rexburg, D. 83440 —
Phone (208) 359-3020 / Fax (208) 359-3022
PERMIT APPLICATION INVOICE
Perm it Tvoe:
2r
Froje ct:
Pronlark Research Remodel
Cbmn-ercial Remodel
Invoice Date J 0/0412006
Applicant: NIOUNTAINWESTELECTRIC Site Add re s s: 7 E MA IN ST
586 W HWY 26 #1
BLACKFOOD 1 8322Rexburg, ID
T, I
The following fee amounts f .0
is pe rm it application are unpaid at this time:
Fee Tran Fe e
Description Code Am ount
Base Fire Fee
Building Permit Fee 2832215 $250.00—
Com me rcial Plumbing Perm it Fee2832211 $0.00
Mechanical Fee Based Calulation based on M( 2832214 $0.00
Plan Check Fee 2832212 $0.00
2832320 $0.00
/Af Total: $250
Page I of 1
T�{
*t of Rexburg
Dru p-aytm 0 nj Qj kk eve ka +gym
19 E. Main St. I Rexburg, In. 83441
Phone (208) 359-302[} l Fax {208} 359-3022
PERMIT APPLICATION INVOICE
invoice Date 1 x/04/2006
586 W HWY 26 91
BLACKFOOT, ID 83221
Rexburg, ID
The following fee amounts for this permit application are unpaid at this time:
De-s,cription Code
° Bas a Fire Fe a 283221
Bu i t ii i n Fier it Fee 2832211
Commr i i Plumbing Permit Fee 2832214
s
Mechanical Fee Based Calulation bared on M( 2832212
Plan Check Fee 2832320
F.
Amount
$250.00
$0.00
$0.00
$0.00
$0.00
Total: $25,p
Page Iof1
Fire Fee's
b'ong's 05 OOS 25�P Review fee
$50.00 operation permit Sprinkler fee
$50.00 operation permit Alarm Fee
Pinnacle CSS Review fee
X50.00 operation permit .Alarm Fee
Lincoln School C(,Q- CaDD Review fee
$50.00 operation permit Alarm Fee
Farm Credit Services OCQ Wto'01-61 Review fee
$50.00 operation permit Alarm Fee
Promark 0[_q ��� , Review fie
$50.4n operation permit Sprinkler fee
$50.00 operai�on permit Alarm. Fee
Madison Memorial ot2 0018q Review fee
$50.00 operation permit Sprinkler fee
$50-00 operation permit Alarm Fee
Millhollow Church 6Lsz�-;( review fee
$50.00 operation permit Sprinkler fee
$50.00 operation permit Alarm Fee
Amet CXQ pp�,W Review fee
$50.00 operation permit Sprinkier fee
$50.00 operation permit Alarm. dee
Child and family Resources 062 X35 Veview fee
$50-00 operation penn"
i SprinUer fee
$5 0. 0 0 operation pen -nit Alarm Fee
American Construct*on
$50.D0 operation permit
$50-00 operation permit
$100.00
$100.00
X200.00
$100.00
$100.00
$100.00
$50.00
$100.00
$100.00
$100.00
$200.00
$100.00
X50.00
Spdnklerfee $100.00
Alarm Fee $100.00
HP r. I6. LUUb
.4
1;.1)uNM
SAAM
1
Rot
A
CORPORATION
i�fvpma6n in& Knoiv0g,�
4606FM 1960 West gutte 530 Houston, a 77069
P-HO,AT.,o 181-587-7600 FAX 287-397-0064
wNnu prom mkf ese[lrch COm
FAX COVER
No, 0574 F. 1
Td.' a A)e, l / /,-/4n SL n FROM: Jr•k v -c. � zrr.e ;
240 S� 3 S�'L ' 3 a Z 4 PAGES: COVER+ I
PHONE: 2 A$- 3S" e;l-•- 3 0.20 x 3 zki DATE:,�� 1 �' / a o o (o
URGElJT WFOR RE
COMMF_A�TS•
EAJMIC�l-
0%
10
s0
1
c'.
7c) ✓L,�. --i(, . _ 4 --me
y
Date/Time,4
File
hi
M �mory TX Result Report (Nov. 2 1. 200b 9;�;aM
40
z
Nov,21, 2UUO 9'57AM
1
Ll
Z
U t
RcS
-- — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
U Not Sent
—-�___.h_ — — p (S)�.__.�—_
3167 MemorTX8 4 8tY\
Qt%A4.
r
OK
— — — — — — — — — — — — — — — — — — — — — --- — — — — — — — — — — — — — — — — — — — — — — — — — — "PO - - - - - - - - - - - - - - - - - - - - - - - -
f error
E. a n g u ps 0r 1 ry e f a i l E.
Et 0 a n s we r E. 4) No f ac s 1 m 1 1 e c o n n
E-5) Exceeded max. E—rola i i size �c t , on
a,
�drirwt
[tt of Anxl�urq
OapaTfcn $nt ckt CQFM rn Un I ty Din va Inpm o rit Racalpt NI.J.9�-an M
151 E KdA; St. I [burg. 113, 630
(2" 8,1 iG i } Fix i0 j3) 3594M
Ub LFV1 HFMUM3033 %Re Firs Fee J00 ;pa0.00 x.00
Totasl 00
0_01
O= MOW
Ekjjjrf13j!1peyrn It .t;e
SIC.G.0l'
GE:00154
Wam
*VtW2W
Mi lid Ing Pe rm N Fee
$550.75
0690154
r $
07,.{1 S120O.5
C.Ohn M6Mb'I PJPJ rnbinFarm it Fee
MO -A-41
06 OD1 r
064M
W'SnOOS
M",ha OM Fee Bned Caful2lcnrp hexed on
SL29a-jD0
OSM54
106- 235
04" WMM
Plan Chemk Fla
$65.08
0600154
t
panpnr#rronsipN
Totaf UMAD
-rte
2 0
T X Re
+J 4.i ti k e5t KI `V
0 4 8 AMi
D a T", e T
i ro e N o v 2 0 nV 0" 10 48 AM
F 'i I
�n a t�n I g
_� eu o. Mo d e D e s t
3023 Memory TX
6843218
P. 1 OK
Reason f r• e r r r•
E. I Hang u z) o r l i n e f a i l E 2 B a s
E. o answer E. 4) �}Jo f C S iM 1 e connect i on
Eh E x c e e d d max. E—ma i 1 s i z e
.� C `' =� Certificate of Occupancy
t. T
City of Rexbu rg
Depar
1915. Main St I Rexb ur% ID. 3!5�M
Building Paan No
piiab1a 15dan of Code:
Site Address:
Use and Occupancy:
0600154
hberroffional Br_d Idi ng Code
E Main St
Promark PbseardVCaII Certer
Type of anstr ion: Type -id, Ubprctected
D06i,gn OCCUp2nt Load: Business
prink]ar System Required: Yes
Dame and Address of Owner; G & K VenturesLc
P D Box 921
American n For , UT 84003
Special ndifions
Oocupaneys. Busirew, p rofessic)roI or service, re staumutsless than 50
This Ceifificzde, issued pjLwsuant fo the te q enfs of Soobon 109 of a Inlemeffowl Building
Ceder mrfi as that at Oe time Yme ofismance, this bugdlng or haat porfio x of && Building that
118Sr�S a drOnthe dSte fl i big pff a r ufre ar& of Me cade
For Cho group and d vialorx of acrup,arary and vie .use rch the proposed occupancy
aad
Date C.O. Issued: mer 30, 06
Issued bw
m s hall be no ibex cha rg e 1 n wdstM =upanry ifieafl an & t building nor ill r Q9S,
� ddi r b rr", d t aildar xr r i n I r k "l the 13U rqj Offidal ISS reVewd and pmro� d
r E p r nen Fire Da
P. 1
page
No I Sent
�I '•r .
lily �
Ma 2000 'J:24AM
m 0rv T X
s i�� I i� 13, *L I P. �'11
3 5 9 0 1 4 Ul
�I
I i'h ;5 I L
rj v. Ma
�j
,
I ; 2 ) A M fl%
pgIr.
sIt N c f- "
�) e n
-- ---------------------------`---
r. 4 0
--------------------------------------------------------------------------------------------- ------
H �r uo r 1 i n fa
No n F. w e r
�) E cee E. ) No Iar-simi1e connection
E - � � e c.i m �. a � �— rr�r �. i 1 :� � z
l T X 0 P
RMURG
FA)� TRANSMITTAL FORM
DATE;
LAI,
City 0-f ) :b Thi
P.O. B= 280
29 EaA AlAa �
Rcxburg, Idaha 9340
Pbonez (208) 359--302D
*� - 5,9
X08) 359 3024 .1 6
Nom; ANELL HAMIN
FUMENMMZR�- Y.3325
Aga; -
PAGE
DC9
iso