HomeMy WebLinkAboutAPPLICATION - 07-00388 - 175 N 1st E - ElectricalBuilding Safety Department
City of Rexburg
19 E Main janellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
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CITY O F
REXBURG
Americas Family Community
OWNER'S NAME Aj
PROPERTY ADD 7 Sc'c /
SUBDIVISION
PHASE
LOT BLOCK
0700388
177 S 1 st E- Electrical
RequiredLY
ELECTRICAL
Electrical Contractor's Name l usiness Name - ZL�
Address y /� �� C� t �.,� State Zip -1 zr l
Cell Phone Business Phone (h20,�
Fax ( ) Email
Electrical Estimate (cost of wiring &labor) $ (;Pd �� (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attachedgarage at the same time)
139,7 t /C� p 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.
C
32-3
Signature of Licens5dantractor License number Date
The
schedule is the same as required 4 the State of Idaho
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