HomeMy WebLinkAboutAPPLICATION - 07-00002 - 60 W 1st S - ElectricalBuild ig Safety Department ��o�atiXBURG CITY OF
City of Rexburg 'o - --
REXBURG
19 E Main janellh @rexburg.org Phone: 208.359.3020 x326 o Americas Family Community
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME &6 Permit #07 00002
PROPERTY ADDRES 0
SUBDIVISION 60 W I st S -Hanks
PHASE LOT BLOCK
Requlre&ff ELECTRICAL
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Electrical Contractor's Name . �C. Business Name X f_ l �l C ✓'
Address It(O �^� 3 !� N City T 1) State _L �� Zip 3-
Cell Phone (>asS") - 3 jU -- I c1 1( Business Phone (20 7) - 390 — (S i 1
Fax ( ?c-f) / S ° C 61 L Email /Yf I P,06 �f : 'C_ e M3 � t C ot�-
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, Hot 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 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 maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
277 5" 1 c) 7
Signature of Licensed Contractor License number Date
The
schedule is the same as required by the State
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