HomeMy WebLinkAboutRECEIPT - 05-00020 - Hollywood VideoGame Crazy - Remodel_ '�3 -MI ('IAF
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City of Rexburg
Department of Com rnunity I)evelopment
19 E. Main St. I Rexburg, ID. 83440
Phone (208) 359-3020 I Fax (248) 359-3022
Da
I & 06102/200
Receipt Number,
Cashier: CATHYW Saye r/Paye a Na.m e _ HL DODO ENT ERTAI NM EN
Permit # Fee Description Tran Original Fee
Code Amount
00020 Building Permit Fee 01-322.11
00020 Plan Check Fee 01-322.17
0500020 Corn m a r i l Plum bing Pe rm it Fe e 01-322.14
05 00020 Base Fire Fee01-322.15 $30.00
50.00
Total:
PreviOus Payment History
..Receipt
Receipt Date Fee
p rip ion
Payor a t Check
Payrn e nt
Method
Number
n
CHECK 838833 ---j
070,24
Total $676.23
Amount
Paid
$541.9U
$54.33
$30.00
$50.00
$676.23
Am ou t Paid e rm it
INo. DAHO au ,r s FOAM - Im -63 -145 RECD BY Qq
56227
CITY OF
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4 City of Rexburg
19 E. Main Sf, J Rexburg, ID. 83440
Phone (2(}8) 359-3020 !fax (208) 359-3022
PERMIT APPLICATION INVOICE
Application : 05 00020
Permit Tyke .
Project: .
Hollow id rrua
_.'
Applicant: HOLLYWOOD ENTERTAINMENT
148 W MAIN
Rexburg, 0 83440
Invoice Date f)2/17/2005
Commercial Rerwdel
Site d re : 130WMAINST
REXBURG, ID 83440
70
Fee
Description
Base Fire Fee
Building Permit i` e
Commercial Plumbing Permit Fee
Plan Check Fee
HOLLYWOOD ENTERTAINMENT CORPORATION
. '� a ' NnUlkXWOOD MANAGEMENT CO.
CYE:
'3—M'AY-05
INVOICE .
050305-012104
Tian Fee
Code Amount
1-322.15 $50.00
01-322.11 $541.90
01-322.14 322.14 3 0.00
01-322.17 $54.33
CU5T. ACCT. N0. VENDOR NAME REX uRG
INVOICE DATE DESCRIPTION
03 -MAY -05 PERMIT FEEs
Total: 5676.23
C j T Y 0 VENDOR N0.
IDISCOUNT AMOUNT
OE
23143
NET AMOUNT
u3
PLEASE DETACH AND RETAIN THI TATEf ENT YOUR RECORD OF PAYMENT. 676 so3
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