HomeMy WebLinkAboutPA SUMMARY - 21-00894 - 250 Mohawk Ave - Sewer LineApplication
Summary
Application Number: 21-00894
BLD-PLBGR - Residential Plumbing Misc.
Received Date: 11/16/2021 250 Mohawk Ave - Sewer Line
Address: 250 Mohawk Ave
Property Information
250 Mohawk Ave RANDALL INDIAN HILLS ESTATES ADDITIONRPRRNDL0011601
People Information
- Mike Fullmer PO Box 249
ahspermits@gmail.com Rigby, ID 83442
Mobile: 2087459406
- Chris McDonald 250 Mohawk
Rexburg, Id 83440
Contractor Information
Plumbing Contractor - Advanced Plumbing - Kip Salas PLB-C-11568 (10/31/2022)
ahspermits@gmail.com PO Box 249
Rexburg, ID 83440Home: (208)201-0322Work: (208)745-9406
Mobile: (208)201-0322
Page 1 of 2Print Date: 11/16/2021
Application
Summary
Application Number: 21-00894
BLD-PLBGR - Residential Plumbing Misc.
Received Date: 11/16/2021 250 Mohawk Ave - Sewer Line
Address: 250 Mohawk Ave
Application Information
Detail Description Quantity Value
Please describe the plumbing work being done.
Replace sewer line
Additional Inspections Required
How many gas lines are being installed or repaired? None = 0
($65 + $10 per ea)
0.00
How many water heaters are being
installed/altered/replaced? None = 0 ($65 + $10 per ea)
0.00
How many water lines are being installed? None = 0 ($65 +
$10 per ea)
0.00
1.00How many sewer lines are being installed? None = 0 ($65 +
$10 per ea)
1.00
How many water conditioning equipment units are being
installed? None = 0 ($65 + $10 per ea))
0.00
How many lawn sprinkler backflow devices are being installed
or repaired? None = 0 ($65 + $10 per ea)
0.00
How many gray water systems are being installed or
repaired? None = 0 ($65 + $10 per ea)
0.00
Number of hydronic heating zones being installed or
repaired? ($65 + ($10 * #of zones))
0.00
Please enter a number of other plumbing work not listed
above. None = 0 ($65 + $10 per ea)
0.00
YBy 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
Page 2 of 2Print Date: 11/16/2021