HomeMy WebLinkAboutRECEIPTS - 06-00160 - Madison Memorial Hospital - Addition - Site Plan0_��XBURGCity of Rexburg
De partm e nt of Com m u n ity Deve lopm e at Receipt Number: 06-0380
19 E. Main St. / Rexburg, ID. 83440
Fhone (208) 359-3020 / Fax (208) 359-3022
Receipt Date: 06/09/2006 Cash ie r: JANELLH Paye r/Paye e Nam e: M ADI SON C NT Y M EM OMAL HOSPITAL
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Original Fee Am ount Fe
Perm it # Fee Description Amount
Paid Balance'
0600160
Site Review Fee
$240.00 $240.00
Total: $240.00
...... . ......
Previous Payment History
Re ce ipt #
Re ce ipt Date Fee Descripfion Am ou nt Paid Permit #
Payor ent Check
M ethod Num be r Paym e n
Am ou t
CHECK 00120456 $240.00
Total $240.00
genpmtrreceipts
Page 1 of 1
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CITY OF
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Citi of Rexburg
-Departm a rpt of Cori rn unity Dewe lopm a rpt
19 E, Min St. / Rexburg, 1D. 83440
Phone 208) 359-3020 1 Fax 0 359-3022
Receipt Date : 061091200
Permit #
Receipt Number: -0380
Cashier:JANELLIH Paye r/Paye e Nam @I
Fee Description
0600160 Site Review Fee ?ZPb
Previous Payment History
Rp ce i p .,—Receipt Date Fee De-scripti-o,n
Payor e rpt Check @�
thd Number
CHECK 00120456 0.00
. .
Total$240F001
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Original Fee
Amount
$240,00
Total:
Amount Paid
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Permit
Page 1 of 1
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REXB_U_'__RG City ofRexburg
�..� ......,._ partm e nt of Com m u n ity Deve topmant
19 F, Main St. Rexburg. ICS. 83440
F (208) 359- / Fax (208) 359-3022
PERMIT APPLICATION INVOICE
Applicant.: R & M COMMERCAL PROPERTIES
71 XERXES AVE S
MINNEAPOLIS, MN 55341
Site Address: 1 247 S 12TH W
The fo [low in 9 fee am Duras for this Ferro It application are un paid at tide tiro
Automatic Fire -Extinguishing Systems
Building Permit F
Com m e r i l Plum biro g Pe r it Fee
Fire Impact
Mechanical l=ee Base
Plan Check Fee
Police Impact F+
Water Meter & Parts
1-322.1
01-322.11
1-322.14
-355.00
20-355.00
01-322.x[7
7-355.00
-346.20
Total
$0.00
$0.00
$0.00
$574.01
$0.00
$0.00
$ 13587.16
$0.00
$2,161.17
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Madison Memorial Hospital
450 East Main St.
Rexburg, ID. 83440
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Tel: 208-359-0092
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Okland Construction Company, inc.
Fax: 208-359-(}511
r um tier;
Bill=* am
John 1` ll r
City bu r
PO Box 280
Rexburg, ID 83440
Tel. 208-359-3020
Fax:
[] Acknowledgement Required
Aaron Getz
Dklanci Construction Company, Inc.
197$ South West Temple
Salt Lake City, UT 84115
Tele (80'i) 486-0144
Fax: (8a1) 486--7570
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im"Itted
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Del
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Hand
Drawings
Submitted for review and approval.
Signature
Prolog Manager Printed on, /1 005 SIG p r j �L
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Signed Dade
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