HomeMy WebLinkAboutAPPLICATION - 06-00466 - Syringa Wireless - Cell Tower - ElectricalBuilding Safety Department
City of Rexburg
19 E Main janellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax:'na oco once
OWNER'S NAME ~ ~//~r1~Cle ~N ivrL°P.,~S
PROPERTY ADDRE~I~yS S ~ ~ ~i~
SUBDIVISION
PHASE
LOT BLOCK
S 2nd East
Requlred.!~!
ELECTRICAL
Electrical Contractor's Name /OL/Cf~e7~{~C~ Business Name ~'I~S~"~nS~'~j~!"Yi 171~n ~~K~/.
Addresses ~ ~,_ ~~r°l~ ~/!/~ City ~GY~C~e State ~ Zip
Cell Phone (~ J) J~(o0" ~~~ Business Phone (~~ ~zSZ- /5Z~1
Fax (~~j ~L"
Electrical Estimate (cost of wiring 8~ 1 ) $~ OMMERCI MULTI-FAMILY ONLY)
TYPES OFINSTALLATION(RESIDENTIAL)
(New Residential includes everything contained within the residential structure and attached garage at the same time)
~~p to 200 amp Service*
201 to 400 amp Service*
Over 400 amp Service*
Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year)
Existing Residential (# of Branch Circuits)
Spa, Hot Tub, Swimtning Pool
Electric Central Systems Heating and/or Cooling (when not part of a new residential construction permit
and no additional wiring)
Modular, Manufactured or Mobile Home
Other Installations: Wiring not specifically covered by any of the above
Cost of Wiring & Labor: $
Pumps (Domestic Water, Irrigation, Sewage)
Requested Inspections (of existing wiring)
Temporary Amusement/Industry
*Includes a ~ um of 3 inspections. additional inspections charged at requested inspection rate of $40 per hour.
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Stgna ure of Licens Contractor License number
The
schedule is the same as
Date
the State
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CITY O F
REXBURG
America's Family Community
06 00466
Syringe Wireless Cell Tower
7