HomeMy WebLinkAboutRECEIPT - 05-00474 - 4330 W 3800 S - New SFR MechanicalSI
City of Rexburg
Department of"Comm unity Development
19 E Win St. / Rexburg, ID. 83440
Phone (208) 359-3020 / Fax (208) 359-3022
Receipt Date: 12/08/2005
0500474
Gashier:JANELLH
W Fee Description
Mechanical Residential Fixtures
ReCeipt Number:
Payer/Payee Name: JACOBSON SCOTT E7UX
Original Fee
Amount
$135.00
Total:
Previous Payment Histary .~.. �.
Receipt # Receipt Date
Payment Check
f� Method Num her
CREDIT CARD
Total
geripmtrreceipts
. . . . . . . . . . . . ...
05,0252'
Amount Fed
Paid
$135.00
------------- —
$135.00
Fee Description E! I
Am ou nt Paid Pe I
Paym e n�
Am ou"t
$135.00
$135.00
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CITY OF
M�CHANICA
RESIDENTIAL
If:(,.EX RG
BU
AWRICAS F.A.-MILY CO-V,,MUNITY City of Rexburg
Department Of Community Development
19 F. Main St. / Rexburg, ID, 83440
PYajeCt Information
Permit Type Mechanical Residential
Site Address
Project Description
4330 W 3800 S -Mad. Co. Mech.
Names Associated with this Project
Type Name
Contractor Judco Heating
Fixtures
Phone (208) 359-30201 Fax (208) 359--,;a-27-
Contact
David Judd
2 - R -Fuel piping fixture or appliance outlet(s) additional
I - R -Bath fan vents additional
I - R -Exhaust or vent ducts
Fee Information
Project Valuation
Mechanical Residential Fixtures
Total Fees ]Paid
Print Name
Signature
135.00
$135.00
ale
Permit #
Project Name
Parcel #
Phone #
05 00
4330 W 3800 S -Mad. Co.ec
RPOSN39E105200
208-624-1461
License #
1169
Exp Date
P-4
02/28/z 6
I - R -Fuel (gas) piping fixture or appliance outlet
1- R -Dryer vents additional
I - R -Furnace
Date Issued:
Issued BY: