HomeMy WebLinkAboutAPPLICATION - 08-00016 - West Main Mall Sign - 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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OWNER'S NAME
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PROPERTY ADDRESS ' i wl --- 4,; ••l0 I `t '4'.�
SUBDIVISION
PHASE
LOT BLOCK
CITY OF
REXBURG
America's Family Community
0800016
155 W Main -West Main Mall
Sign Meter
Required.!! ELECTRICAL R�� Y� —
Electrical Contractor's Name L i a-- n� E 73usmess Name
Address �j y i City State Zip ;9'35!��
Cell Phone (goQ) y p ?� _ �17.PC� Business Phone vl>U &SLo — o I '/ LP t'
Fax (g&) cas Email r - A"- , 4 6, _,�- &I OD +�(E..
Electrical Estimate (cost of wiring & labor) $ � (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OFINSTALLATION
(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
Cost of Wiring & Labor: $
Pumps (Domestic Water, Irrigation, Sewage)
Requested Inspections (of existing wiring)
Temporary Amusement /Industry
*Includes a maximum of 3 p spections. Additional inspections charged at requested inspection rate of $40 per hour.
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Signaturq of Licensed Contractor License number D to
The City of Kexburg's permit fee schedule is the same as required by the State of Idaho
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