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HomeMy WebLinkAboutPA SUMMARY - 21-00990 - 115 Elm Ave - Sewer LineApplication Summary Application Number: 21-00990 BLD-PLBGR - Residential Plumbing Misc. Received Date: 12/08/2021 115 Elm Ave - Sewer Line Address: 115 Elm Ave Property Information 115 Elm Ave POWELL MODIFICATION PLATRPR0POW0072020 People Information Applicant - Britney Wadsworth PO Box 249 ahspermits@gmail.com Rigby, ID 83442 Mobile: 2086293082 Owner - Ricardo Henriques 115 Elm Avenue 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: 12/08/2021 Application Summary Application Number: 21-00990 BLD-PLBGR - Residential Plumbing Misc. Received Date: 12/08/2021 115 Elm Ave - Sewer Line Address: 115 Elm Ave Application Information Detail Description Quantity Value Please describe the plumbing work being done. Full sewer line replacement trench and reroute sewer line in backyard to city main 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: 12/08/2021