HomeMy WebLinkAboutRECEIPTS - 06-00297 - 1695 W 5350 S - New SFR MechanicalSB U-,�
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City of Rexburg
Department of Community Development
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19 E Main St.1 Rexburg, ID. $3440
F'tt,one (20$) 359-302D 1 fax (208) 359-3022
PERMIT APPLICATION INVOICE
A fication #: 06 00297
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Applicant: SHAW HOMES& CONST INC
4546 E 280 N
GB , ID 83442
Site Add r: 1695 W 5350 S
Madison, ID
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The following fee amounts for this permit application are unpaid at this time:
Fe e 'j ' A•t
Tran Fey
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CodiAm ount,
Mechanical i e ntial Fixture,% 2832212 $140.00
Total: .._'
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_CITY o F VIAD ISON COUNTY MECHANICAL I
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Ow City sof Rexburg
America'sFamalyCommunit� Departt of COmmunity Development
19 E. Main St.1 Rexburg, ID. 83440
Phone (2D8) 359-30201 Fax f209l Ar%9_-;w7
CLAIM F O
VENDOR #
NAME
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C.�lvy 0.1,11F
AMERICA'S FAMILY COMMUNITY
DATE
ADDRESS L
FED ID or SS#
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CITY, STATE, ZIP l�� ot/0. i lo $3C�CI.S TELEPHONE
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CLAIMANT OR HIS AGENT SIGN HE