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HomeMy WebLinkAboutPA SUMMARY - 21-00424 - 767 Johnson St - MechanicalApplication Summary Application Number: 21-00424 BLD-PLBGR - Residential Plumbing Misc. Received Date: 06/10/2021 767 Johnson St - Mechanical Address: 767 Johnson St Property Information 767 Johnson St HENDERSON ADDITION DIVISION NO. 3RPRHNDS3090050 People Information Applicant - Fredrick Roark 147 N 1st E fdroark@gmail.com Rexburg, ID 83440 Mobile: 865-585-1061 Owner - Garry Smith 767 Johnson St Rexburg, ID 83440 Contractor Information Plumbing Contractor - Finish Line Plumbing - Kent Spencer 022691 (10/31/2021) endresnw@endresnw.com Idaho Falls, ID 83406Work: 208-227-6578 Gas Company - Intermountain Gas Company - Chad Darrington 0000 (06/08/2022) IFPermits@intgas.com Work: 800-548-3679 Page 1 of 2Print Date: 09/29/2021 Application Summary Application Number: 21-00424 BLD-PLBGR - Residential Plumbing Misc. Received Date: 06/10/2021 767 Johnson St - Mechanical Address: 767 Johnson St Application Information Detail Description Quantity Value Please describe the work being done. Gas line Additional Inspections Required 1.00How many gas lines are being installed or repaired? None = 0 ($65 + $10 per ea) 1.00 0.00How many water heaters are being installed/altered/replaced? None = 0 ($65 + $10 per ea) 0.00 0.00How many water lines are being installed? None = 0 ($65 + $10 per ea) 0.00 0.00How many sewer lines are being installed? None = 0 ($65 + $10 per ea) 0.00 0.00How many water conditioning equipment units are being installed? None = 0 ($65 + $10 per ea)) 0.00 0.00How many lawn sprinkler backflow devices are being installed or repaired? None = 0 ($65 + $10 per ea) 0.00 0.00How many gray water systems are being installed or repaired? None = 0 ($65 + $10 per ea) 0.00 0.00Number of hydronic heating zones being installed or repaired? ($65 + ($10 * #of zones)) 0.00 0.00Please enter a number of other plumbing work not listed above. None = 0 ($65 + $10 per ea) 0.00 NBy checking this box, I acknowledge the requirement for contractors to be registered with the State and/or claim exemption from this requirement as a homeowner working on my own home. Comments Fee Information Fee Code & Description Amount $65.00Plumbing - Misc. $65 base + $10 per ea (BLDPLWRK2) $65.00 Payment Information Payment AmountTender Type Reference InfoPayment Date 06/06/2021 Credit Card 100869626 $65.00 $65.00 Page 2 of 2Print Date: 09/29/2021