HomeMy WebLinkAboutAPPLICATION - 07-00035 - Century 21 - ElectricalBuildiffig Safety Department " EXBt, C I T Y o f
City of Rexburg _.__.----------_____--
? REXBURG
19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 Americas Fanuly Community
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME S
PROPERTY ADDRESS ;&!59" S,, yd e Permit# ) ��
SUBDIVISION `-J
PHASE LOT BLOCK
Require&!
ELECTRICAL
Electrical Contractor's Name CA L-� VY}- I_� e I Business Nam 0 �L� I I " C/-
Address kyD N J
T �f)b W�sT City 6 State zip 9 3�(
Cell Phone (4) - 15 - DU Business Phone ( _TV5 - 712:9
Fax (' ) r ` Email _Vy�eCICY_L,_I tjl j J1 1�u1 Vv� CoyY,
Electrical Estimate (cost of wiring & labor) $ 5 Z (5 (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OFINSTALLATION
(New Residential includes everything contained mdua the residential structure and attachedgarage 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
and no additional wiring)
Modular, Manufactured or Mobile Home
�X Other Installations: Wiring not s ecifically covered by any of
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.
Signature of Licensed Contractor License number Date
The
schedule is the same as required by the State of Idaho