HomeMy WebLinkAboutAPPLICATION - 07-00516 - 387 Airport Rd - Mobile HomeBuilding Safety Department
City of Rexburg
19 E Main jonellh @rexburg.org Phone: 208_.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fa
NAME N Qalq ) Ue1 dR 4 -
PROPERTY ADDRESS 3� ? „- r � ,Qactcl
SUBDIVISION
Required!!!
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A merica' Family Community
0700516
387 Airport Rd- Mobile Home
MECHANICAL
Mechanical Contractor's Name: 7r 111 ka Ad Business Name:
Address City _ 1 ii State Qi Zip 93yL1Z
Cell Phone: ( ) 3(3 -00� Business Phone:
Fax: ( ) Ow I Email
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Mechanical Estimate $ (Commercial/Multi Family Only)
FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only)
Furnace Exhaust or Vent Ducts
Furnace /Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas -fired appliance
Incinerator System
Boiler
Pool Heater
Dryer Vents
Range Hood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
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T Fuel Gas Pipe Outlets including stubbed in or future outlets
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
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Signature of Licensed Contractor License number
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Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
Building 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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REXBURG
Americas Family Community
OWNER'S NAME
PROPERTY ADDRESS 3' 1'y oa
SUBDIVISION
PHASE LOT 4 BLOCK
Requiredffl
ELECTRICA
Permit 907 0051.6
87 Airport Rd- Mobile Home
Electrical Contractor's Name /l'2f -.'UI x�/ Business Name TAOLVI. A{ E1 a) t CCC-
Address 083^6 E N City J 6 .,Z_J - State i d Zip P3 I /
Cell Phone ( ) 311" 00V Business Phone ( ) Ss_Z - z / 3 3
Fax ( ) ;U 7 G 1- /2 / Email
Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attached garage at the same time)
— , Number of meters being installed
Up to 200 amp Service*
201 to 400 amp Service*
Over 400 amp Service*
Existing Residential (# of Branch Circuits)
Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year)
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 Xe c'Q
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.
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Signature of Licensed Contractor License number Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
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