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Home My WebLink AboutPA SUMMARY - 22-00184 - 126 Birch Ave - Water LineApplication Summary Application Number: 22-00184 BLD-PLBGR - Residential Plumbing Misc. Received Date: 03/24/2022 126 Birch Ave - Water Line Address: 126 Birch Ave Property Information 126 Birch Ave POWELL MODIFICATION PLATRPR0POW0042570 People Information Applicant - Bryce Raymond 136 N 3600 E BRC.llc@icloud.com Rigby, Id 83442 Mobile: 2082432518 Owner - Bruce Southerland 126 Birch Avenue Rexburg, Id 83440 Application Information Detail Description Quantity Value Please describe the plumbing work being done. Water line replacement from meter to home 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 1.00How many water lines are being installed? None = 0 ($65 + $10 per ea) 1.00 How many sewer lines are being installed? None = 0 ($65 + $10 per ea) 0.00 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 Page 1 of 2Print Date: 03/24/2022 Application Summary Application Number: 22-00184 BLD-PLBGR - Residential Plumbing Misc. Received Date: 03/24/2022 126 Birch Ave - Water Line Address: 126 Birch Ave 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 03/20/2022 Credit Card 117606574 $65.00 $65.00 Page 2 of 2Print Date: 03/24/2022