HomeMy WebLinkAboutALL DOCS - 08-00144 - 673 Johnson - Electrical0
Building Safety Department
City of Rexburg
19 E Main jonellh @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
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C[ T Y O F
REXBU
Americas Family Community
OWNER'S NAME f q v, n ILIr e_
PROPERTY ADDRESS r-
SUBDIVISION
PHASE LOT BLOCK
Permit #08 00144
673 Johnson -Air Conditioner
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ELECTRICAL
Electrical Contractor's Name / t`1��'Y� aC hc+rc Business Name
Addres
City State Zip
Cell Phone ( &y) _7W_r'yf1 Business Phone
Fax (
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 tune)
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
*Includes a maximum of 3 inspecti ns. Additional inspections charged at requested inspection rate of $40 per hour.
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Signature of Licensed Contractor License number Date
The
sebedule is the same as required by the State of Idabo