HomeMy WebLinkAboutAPPLICATION - 08-00171 - 312 Yale - ElectricalP 0
Building Safety Department
City of Rexburg
19 E Main joneiih @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
04 ptixe °Rc
C I T Y OF
REXBURG
- _ _ _ 110W___
Americas Family Community
OWNER'S NAME &Ze - -
PROPERTY ADDRESS _ IZ V a- /e.-
SUBDIVISION
PHASE LOT BLOCK
0800171
312 Yale- Thomson
Requiredffl ELECTRICAL
Electrical Contractor's Name rte ; 5 dAct
Na � Business Name
Address (7� �/ �I City
Cell Phone ( /, '- I - AN :L
Business Phone
.7/,?
Mz22
Fax - � t�
Email _ ! �A� / .a �- f(h
Q />,61-
, .I
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)
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 inspections. Additional inspections charged at requested inspection rate of $40 per hour
/
Signature of tAcensed Contractor License number Date
The City of Kexburg r permit fee schedule it the came as required by the State of Idaho