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HomeMy WebLinkAboutAPPLICATION - 07-00360 - LDS 3rd & 9th Ward Church Building - Electrical- r • Building Safety Department a 4aXBRC �4 d � 7 0 City of Rexburg 19 E Main janellh @rexburg.org Rexburg, ID 83440 www.rexburg.org Phone: 208.359.3020 x326 Fax: 208.359.3024 C IT Y OF REXBURG America's Family Community OWNER'S NAME 3 1 PROPERTY ADDRESS 3 `T 3 ; " SUBDIVISION PHASE LOT BLOCK Permit #07 00360 3rd & 9th Ward Church 345S 3rd W Requiredffl ELECTRICAL Electrical Contractor's Name Lon 4CA' - Business Name 47-� Address /, o, 0 a7, �/CS` lslzu1 22 City -( t4,defi State -;?C Zip -Ky3 6 Cell Phone (24) Business Phone Fax ( ; c t$'d'° 'Y3 e Email ldsU l' /� j!�j? Electrical Estimate (cost of wiring & labor) $ H � (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OFINSTALLATION(RESIDENTIAL) (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 I Rn Other Installations: Wiring not specifically covered by any Cost of Wiring & Labor: $ 1 1 , L A�d- Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) Temporary Amusement /Industry *Includes a magnum of 3 inspections. Add itional inspections charged at requested inspection rate of $40 per hour. — Z 01-7-1 / - - e aee;) ignature of Licensed Contractor License number I Date The schedule is the sa me as required by the State of Idaho 7