HomeMy WebLinkAboutAPPLICATION - 07-00079 - Broulims - ElectricalT
Building Safety Department
CRy of Rexbwg
Phone: 208 359,V20 x3'16
faoc 208.359.3024
OWNER'S NAME
PROPERTY ADDRESS 1,91 1
SUBDIVISION tiu�
PHASE LOT BLOCK
CITY OF
REXBURG
Anrrrica's fimuh� Cann »:�nih�
0700079
Broulims- Electrical
Requiredtff
.ELECTRI T.
Electrical Contractors Nam w� - Business Name
Address '`/y� -- So 'f BAST_ City /rte as State L,( Zip 134 G
Cell Phone ( ) 3 90 tY' 5 Business Phone ( )
Fax ( ) Email
Electrical Estimate (cost of owing & labor) (COM ERCUUMULTI- FAMILY ONLY)
TYPES OFINSTALLATIONt
(New ResidendAl Awludes ev�etptiingceatatned witbm fie r+esidendd savenwe and attachedgarage at the same dme)
Up to 200 amp Service*
201 to 400 amp Service*
Over 440 amp Service*
Temporary Construction Service, 240 amp or less, one location (for a period not to exceed 1 pear)
Existing Residential (# of Branch Circuits)
Spa, Hot Tub, Swimming Pool
Electric Central Systems Heating and /or Cooling (when not pan of a new residential constrncdon permit
and no additional wiring)
Modular, Mangy or Mobile Home
Other Installations: Wiring not specifically covered by any of the above
Cost of Wiring & Labor:; OK,20
Pumps (Domestic Water, Imgation. 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.
Signa f Licensed Contractor License number Date
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