HomeMy WebLinkAboutAPPLICATION - 08-00138 - 337 W 3rd S - Electrical•
Building Safety Department
City of Rexburg
19 E Main ionellh @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME
PROPERTY ADD
SUBDIVISION
PHASE
LOT BLOCK
C I T Y OF
REXBURG
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America's Family Community
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Regi redN LECTRICAL
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Electrical Contractor's Name L4 ;n n S _ L E C.Y Business Name 1. L E C
Address . c t�i �) 30O c Ciry , Imo. �,� vL, State f Zip �S
Cell Phone ( ) 3 7 ( 7 3 Q Business Phone ( ) -S,4 m Q-
Fax (
Electrical Estimate (cost of wiring & labor) $ OC) "- (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attached garage at the same time)
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3:3:z rA) :3 -cj —S 1) Permit#
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
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
*In s a maximum of 3Py�ections. Additional inspections charged at requested inspection rate of $40 per hour.
Ignature of Licensed Contractor License number Date
The
schedule is the same as required by the State of Idaho