HomeMy WebLinkAboutRECEIPT - 05-00469 - Lost Creek Steak Co - Fire Suppression SystemT
REXBURG
City of Rexbur g -
De
part e rpt of Com m unit Dewe lo pm e rpt
19 F- Main St. / Rexburg, ID. 83440
Phone (208) 359-30201 Fax (208) 359-3022
Receipt Number 05-0266
050046-9
Fee Descr'lption
Base Fire Fee
. . . . .......... . . ........
Previous Payment History
Re ce'l'p t # Re ce it Date Fee Description
Payment Check Paym e n�
Method Num bei Amount
CHECK 8433 $-50-00
T661
9;6.00
CITY OF, EXRURG
12I . CENTER
REXBURG, IDAHO 83440
ACCOUNT DATE
NAME
r r.
51f w C L)JD
C2
ADDRESS
05
ACCOUNT DESCRIPTION AMOUNT
PLEASE KEEP
THANK YOU THIS RECEIPT TOTAL
No. 22535
IDAHO BUSINESS FORMS - 1-800-632-1450 REC' D BY
674
$50-00
A
Total.
$50-00
Ari ountPaid Permit# ,
$0.00
F"a g e 1 of I
Paye r/Paye e
Nam e:
F1 RE SERV IC ES
OF
I DAARe
ce i Pt
DaLe:
12/1612095
Cashierw.JANB.LH
050046-9
Fee Descr'lption
Base Fire Fee
. . . . .......... . . ........
Previous Payment History
Re ce'l'p t # Re ce it Date Fee Description
Payment Check Paym e n�
Method Num bei Amount
CHECK 8433 $-50-00
T661
9;6.00
CITY OF, EXRURG
12I . CENTER
REXBURG, IDAHO 83440
ACCOUNT DATE
NAME
r r.
51f w C L)JD
C2
ADDRESS
05
ACCOUNT DESCRIPTION AMOUNT
PLEASE KEEP
THANK YOU THIS RECEIPT TOTAL
No. 22535
IDAHO BUSINESS FORMS - 1-800-632-1450 REC' D BY
674
$50-00
A
Total.
$50-00
Ari ountPaid Permit# ,
$0.00
F"a g e 1 of I
�1 I I Ur
R..,EXBUR,G,. City f Rexburg
AML [C -A FAMILY CC MMUNFY De pr#m e nt of Co rn m u pity De ve lop m e nt
19 E Main St. / Rexburg, Ifs. 83440
Phone (208) 359-3020 1 Fax (208) 359-3022
PERMIT APPLICATION INVOICE
Application . 05 00469 Perm it Type:
Project:
Lost Creek Steak Co -Fire
Applicant: FIDE SERVICES OF IDAHO
2.601 P'L EL IIS E FAD
POCATFLI-0, ICS 83201
EMS Construction PerMt
Site Address:
The following fea amounts for this permit application are unpaid at this time:
Fee
Description
Base Fire Fee
Tran
rAdp
Invoice .t l /29/2005
m ount
1-322.1 $50-00
Total:
$50
Fbge 1 of 1
N
Me rn o r Y TX P% L S, d *I t I L Nov. e p V r L 1 �� �L1 � 1 1 1
6 AMr
Date/Time: Nov.29. 20U5 'i^;15aM
1^392 Memory TX
Destination
2320449
Fg (s)
R. �uIt
P , 2 OK
Real o n o r e r r r
E. '-an g up o r 1 i n f a i l E. .2 u
E. 3 o answer E. 4) N.3 f a c s i:mi 1e connect ion
E.
E x c a e d e d max. E—ma i 1 s i z e
CrFY F
kEXBUKG
AVEK FAM&Y CKWIMUNM FAX -RiANSMITTAL FORM
DATE: Mx- �l 12p—C-5—
City of Rexb-arg yu.-
fW, dam 29C
12 Noniw int
ANY: 5_30yh -6^JqC
c Idalao 83440
Phcaa: 03) 359-3020 FAX�
Fes: (209) a-5 9 3024
FROM
'VAMC; JANM-.L HANSEN
PROMS UE 326
PAG£ - ___ t - ^OF 44-- —
plem ftwward t1b am #ramsmi#tal to lhe abj)ye nELMELd lEdMduat
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