HomeMy WebLinkAboutAPPLICATION - 08-00177 - 137 N 3rd W - Electrical0 0
Building 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
OWNER'S NA ME.. , �U
PROPERTY ADDRESS 15`7 N D 7
SUBDIVISION
PHASE LOT BLOCK
of Q�xaoRc
CITY OF
REXBURG
CW
America's Family Community
0800177
137 N 3rd w -New Service
RequiredN ELECTRICAL
Electrical Contractor's Name Business Name
Address r) (o a A/ • also c E City 5 '1 State `�� Zip 8? y y
Cell Phone geb) % o t ? Business Phone
5 w.�sL
Fax ( ) Email
Electrical Estimate (cost of wiring & labor) $ 1106, 0 ' (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attachedgarage 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.
tgnature of Licensed Contractor License number Date
The
schedule is the same as required by the State