HomeMy WebLinkAboutAPPLICATION - 07-00318 - Qwest - Electrical PedestalJul, 17. 2007 9 : 55AM
Building Safety Department
City of Rexburg
19 E Main janellh (Prexb urg. org Phone: 206.359.3020 x326
Rexburg, ID 83440 www.rexburg_org Fax: 208.359.3024
No, 4527
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Americds Family Community
OWNER'S NAME CD wes7— Permit #07 00318
PROPERTY ADDRESS MS r _&&Z w h./ 1e,
SUBDIVISION Q west Pedestals
PHASE LOT BLOCK On the Corner Of Crest View & 2nd E
Requiredffl
ELECTRICAL
Electrical Contractor's Name o Business Name
Address (,�Z.5 �'l - 2Ig TA City Ho ; L? : State d Zip "4 o2_
Cell Phone ( ) Business Phone (Zm) , 5722- 2-t,9.5
Fax (2�*) - 52-1 - 3`( 2-3 Email
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Electrical Estimate (cost of wiring & labor) $ y 00 l (COMMERCIAL. /MULTI - FAMILY ONLY)
TYPES OFINSTALLATION
(Mew Residen dal includes everything contained within the residential structure and attached b oarage at the same dme)
Number of meters being installed
1 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 constnzcction 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 ma. of 3 inspections. Additional inspections charged at requested inspection race of W per hour.
717/0 7
atarc of Licensed Contractor License number Date
The
schedule is the same as mudred by the State of Idaho