HomeMy WebLinkAboutRECEIPTS - 05-00130 - 624 Vale Ln - Basement FinishCITY or
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ANAAKA� FAMLY CQAWU-d EY
City of Rexburg ......
Department of Community Deve lopm e nt Receipt Number: 100000000412
19 E. Main St. !Rexburg, ID. 83440
Phone (208) 359-3020 1 Fax (208) 359-3022
I'ReceiptDate : 0412912005
II
Permit #
0500130
,G5 00130
0500130
- KARL ERIC; B ETUX
Cashier: BETHANYC Paye r/Paye e Nam e.
Tran
Original Fee
Am ount
Fee
Fee Description Code
Amount
Paid
Balance
Building Permit Fee
Plan Check Fee
Residential Plumbing Permit Fee
01-322.11
01-322.17
01-322.14
Previous Payor end History
Receipt # Receipt Date Fee Description
....... ..
Paym e 0
I.-fet-Vod
CHECK
Check
Number
3530
Total
Pm e nt::
Amount
$207.18
eUbUb
IDAHO B U S I N ESS FARMS - 1,800-632-1458 REC'D BY —C'A
56227
No.
$'f39.25 $139.25 $0.00
$13.93 $13-93 $0.00
$54.00 $54.00 $0.00
Total:
Amount Paid
Permit #
Page 1 of 1
�l1241 Desert Rock Dr. S.la
Rexburg, ID $3440
X2081 -032.
Job Estimate
Cate Estimate
'3' A/ 2 0 0 5 849
Due to our company's liablfity insurance policy, Advanc Plumbing & Mechanical, Ire .
cannot warrantee any product5 5uppficd. bar_ wncr. Additional labor charges will be incurred
for incomplete or late delivery of products.
AMERICA'S FN\,flL),, C��ti1MUl�!1TY
City of Rexburg
P.O. Box 280
12 North Center Street
Rexburg; Idaho 83440
Phone: (208) 359-3020
FAX: (208).359-3024
DATE:
TO; NAME:
FROM:
COMPANY:
FAX NUMBER:
PHONE NUMBER:
NAME: CATHY WINTERS
PHONE NUMBER: x 322
FAX TRANSMITTAL FORM
.a
r
PAGE OF
Please forward this fax transmittal to the above named individual.
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