HomeMy WebLinkAboutPA SUMMARY - 22-00028 - 616 Lilac St - MechanicalApplication
Summary
Application Number: 22-00028
BLD-MECHR - Residential Mechanical Misc.
Received Date: 01/11/2022 616 Lilac St - Mechanical
Address: 616 Lilac St
Property Information
616 Lilac StMHMH00621
People Information
Applicant - Mike Fullmer PO Box 249
ahspermits@gmail.com Rigby, ID 83442
Mobile: 2083602400
Owner - Sam Stafford 616 Lilac st
Rexburg, Id 83440
Contractor Information
Mechanical Contractor - Advanced Home Services - Kip Salas HVC-C-5806 (10/31/2024)
ahspermits@gmail.com PO BOX 249
Rigby, ID 83442Work: (208)745-9406
Mobile: (208)201-0322
Page 1 of 2Print Date: 01/12/2022
Application
Summary
Application Number: 22-00028
BLD-MECHR - Residential Mechanical Misc.
Received Date: 01/11/2022 616 Lilac St - Mechanical
Address: 616 Lilac St
Application Information
Detail Description Quantity Value
Additional Inspections Required
Please describe the mechanical work being done
Mobile home Furnace and water heater
1.00Number of Furnaces being installed? ($65 per furnace) 1.00
Number of Air Conditioning units being installed? ($65 for 1st
+ $10/additional HVAC equipment)
0.00
Are any gas lines being installed/replaced? No = 0 Yes = 1
($65 for 1st + $10/additional HVAC equipment)
0.00
1.00Number of water heaters being installed/replaced ($65 for
1st + $10/additional HVAC equipment)
1.00
Number of free-standing fireplaces being installed? ($65 for
1st + $10/additional HVAC equipment)
0.00
Number of built-in fireplaces being installed? ($65 for 1st +
$10/additional HVAC equipment)
0.00
Are you installing in-floor heating zones? (hydronic heating)
No = 0 Yes = 1 ($65 for 1st + $10/additional HVAC
equipment)
0.00
Number of other additional HVAC equipment not listed above
($65 for 1st + $10/additional HVAC equipment)
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
$75.00Mechanical - Misc. $65 base + $10 per ea (BLDMEWRK2)
$75.00
Payment Information
Payment AmountTender Type Reference InfoPayment Date
Page 2 of 2Print Date: 01/12/2022