HomeMy WebLinkAboutAPPLICATION - 08-00150 - Help U Sell - Electrical•
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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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America's Family Community
OWNER'S NAME V N LA
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PROPERTY ADDRESS .n ZS - r
SUBDIVISION
PHASE
LOT
0800150
BLOCK Help U Sell Exterior Electrical
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ELECTRICAL
Electrical Contractor's Name L e1�14 E L 44 � Business Nam ��6U2'`.,
Address Is �k l City. State ` Zip j �/ 4 /
Cell Phone — 51P Lq Business Phone
Fax Gu?) Lesto --C q LP c1 Email r L 4 ), 4 t c a�i ova
Electrical Estimate (cost of wiring & labor) $ 7 L IQ (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attached garage at the same dine)
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 aximum of 3spections. Additional inspections charged at requested inspection rate of $40 per hour.
J 2 �� a t -, — 2 2 LI
Signaturt of Licensed Contractor License number
The
schedule is the same as
Date
the State