HomeMy WebLinkAboutAPPLICATION - 06-00519 - GR Williams Engineering - Electrical0 -
Building Safety Department 0 'I "FXB°R0e CITY OF
City of Rexburg 7
° REXBURG
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19 E Main jonellh@rexburg.org Phone: 208.359.3020 x326 Americas Family Community
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME 6 /k tcWift,'A%ts. Permit #06 00519
PROPERTY ADD SS —?!7 N Q ta!� G R
SUBDI V I SION Williams Engineering
PHASE LOT `) :' BLOCK 1l_
Requlredffl
ELECTRICAL
Electrical Contractor's Name Business Name L et41W111 -
Address 1 S 1 City 6 46t, State a Zip
Cell Phone ljf53 Business Phone ( ) ? ^ 3:29
Fax Email
Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attached garage at the same time)
Up 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, Hof Tub, Swimming 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 specifi covered by any of the above
Cost of Wiring &Labor: $ 4- 0510 g
Pumps (Domestic Water, Irrigation, Sewage)
Requested Inspections (of existing wiring)
Temporary Amusement /Industry
*Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
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Signs of icensed Contractor License number Date
Wrsj
schedule is the same as required by the State of Idabo
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